Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.13 / $6,014.00 / $15,000.00	Facility		$2,144.13	$6,014.00	$15,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $15,318.85 / $55,752.34	Facility		$1,282.27	$15,318.85	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.35 / $2,239.35 / $2,239.35	Facility		$2,239.35	$2,239.35	$2,239.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,734.44 / $5,845.00 / $9,852.00	Facility		$1,734.44	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $172.62 / $172.62 / $172.62	Facility	AS	$172.62	$172.62	$172.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,690.78 / $2,580.39 / $4,877.56	Professional		$1,690.78	$2,580.39	$4,877.56
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $121.92 / $121.92 / $121.92	Professional	80	$121.92	$121.92	$121.92
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.96 / $60.96 / $60.96	Professional	AS	$60.96	$60.96	$60.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,588.00 / $20,361.00	Facility		$3,800.00	$9,588.00	$20,361.00