Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,978.64 / $5,664.00 / $9,023.00	Facility		$1,978.64	$5,664.00	$9,023.00
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 $2,192.10 / $2,192.10 / $2,192.10	Facility		$2,192.10	$2,192.10	$2,192.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,753.40 / $2,500.00	Facility		$500.00	$1,753.40	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $174.63 / $174.63 / $174.63	Facility	AS	$174.63	$174.63	$174.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,707.29 / $2,564.10 / $3,847.33	Professional		$1,707.29	$2,564.10	$3,847.33
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $123.11 / $123.11 / $123.11	Professional	80	$123.11	$123.11	$123.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $61.56 / $61.56 / $61.56	Professional	AS	$61.56	$61.56	$61.56
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