Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,502.04 / $5,137.00 / $8,401.00	Facility		$1,502.04	$5,137.00	$8,401.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.57 / $4,431.64 / $39,007.80	Facility		$1,184.57	$4,431.64	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,115.23 / $2,115.23 / $2,115.23	Facility		$2,115.23	$2,115.23	$2,115.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,687.69 / $2,500.00	Facility		$500.00	$1,687.69	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $167.58 / $167.58 / $167.58	Facility	AS	$167.58	$167.58	$167.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,643.48 / $2,456.80 / $3,703.55	Professional		$1,643.48	$2,456.80	$3,703.55
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $118.51 / $118.51 / $118.51	Professional	80	$118.51	$118.51	$118.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $59.26 / $59.26 / $59.26	Professional	AS	$59.26	$59.26	$59.26
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