Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,139.01 / $5,063.00 / $7,391.00	Facility		$2,139.01	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,241.98 / $2,241.98 / $2,241.98	Facility		$2,241.98	$2,241.98	$2,241.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,723.40 / $2,500.00	Facility		$500.00	$1,723.40	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.16 / $171.16 / $171.16	Facility	AS	$171.16	$171.16	$171.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,674.81 / $2,535.90 / $4,659.49	Professional		$1,674.81	$2,535.90	$4,659.49
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.77 / $120.77 / $120.77	Professional	80	$120.77	$120.77	$120.77
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.39 / $60.39 / $60.39	Professional	AS	$60.39	$60.39	$60.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00