Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,999.04 / $6,014.00 / $12,464.00	Facility		$2,999.04	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $12,326.53 / $55,752.34	Facility		$2,361.69	$12,326.53	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,379.55 / $3,379.55 / $3,379.55	Facility		$3,379.55	$3,379.55	$3,379.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,410.14 / $2,500.00	Facility		$500.00	$2,410.14	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $238.31 / $238.31 / $238.31	Facility	AS	$238.31	$238.31	$238.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,310.30 / $3,549.46 / $5,206.18	Professional		$2,310.30	$3,549.46	$5,206.18
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $166.60 / $166.60 / $166.60	Professional	80	$166.60	$166.60	$166.60
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $83.30 / $83.30 / $83.30	Professional	AS	$83.30	$83.30	$83.30
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00