Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,278.82 / $4,947.00 / $7,045.20	Facility		$1,278.82	$4,947.00	$7,045.20
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $659.73 / $659.73 / $659.73	Facility		$659.73	$659.73	$659.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,281.49 / $11,584.14	Facility		$1,000.00	$1,281.49	$11,584.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.09 / $127.09 / $127.09	Facility	AS	$127.09	$127.09	$127.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,155.46 / $1,388.61 / $2,788.23	Professional		$1,155.46	$1,388.61	$2,788.23
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.22 / $89.22 / $89.22	Professional	80	$89.22	$89.22	$89.22
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.61 / $44.61 / $44.61	Professional	AS	$44.61	$44.61	$44.61
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00