Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,910.83 / $6,014.00 / $18,932.96	Facility		$1,910.83	$6,014.00	$18,932.96
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $7,090.86 / $25,880.60	Facility		$1,402.00	$7,090.86	$25,880.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,021.37 / $2,021.37 / $2,021.37	Facility		$2,021.37	$2,021.37	$2,021.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,438.48 / $7,258.00 / $10,047.00	Facility		$1,438.48	$7,258.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.94 / $142.94 / $142.94	Facility	AS	$142.94	$142.94	$142.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,396.58 / $2,145.66 / $4,755.64	Professional		$1,396.58	$2,145.66	$4,755.64
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $100.71 / $100.71 / $100.71	Professional	80	$100.71	$100.71	$100.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.35 / $50.35 / $50.35	Professional	AS	$50.35	$50.35	$50.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $11,182.00 / $26,316.00	Facility		$1,998.00	$11,182.00	$26,316.00