Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,419.30 / $3,460.00 / $12,000.00	Facility		$1,419.30	$3,460.00	$12,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.89 / $1,825.00 / $23,994.42	Facility		$521.89	$1,825.00	$23,994.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,655.85 / $1,655.85 / $1,655.85	Facility		$1,655.85	$1,655.85	$1,655.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,115.59 / $5,845.00 / $9,852.00	Facility		$1,115.59	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.42 / $109.42 / $109.42	Facility	AS	$109.42	$109.42	$109.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.99 / $1,650.03 / $2,420.19	Professional		$1,073.99	$1,650.03	$2,420.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.45 / $77.45 / $77.45	Professional	80	$77.45	$77.45	$77.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.72 / $38.72 / $38.72	Professional	AS	$38.72	$38.72	$38.72
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,800.00 / $24,000.00	Facility		$175.00	$1,800.00	$24,000.00