Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,062.90 / $6,439.00 / $18,997.00	Facility		$2,062.90	$6,439.00	$18,997.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $15,467.66 / $55,752.34	Facility		$1,063.95	$15,467.66	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,044.00 / $2,044.00 / $2,044.00	Facility		$2,044.00	$2,044.00	$2,044.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,487.30 / $5,845.00 / $9,852.00	Facility		$1,487.30	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $147.38 / $147.38 / $147.38	Facility	AS	$147.38	$147.38	$147.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.92 / $2,212.23 / $3,244.84	Professional		$1,439.92	$2,212.23	$3,244.84
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $103.83 / $103.83 / $103.83	Professional	80	$103.83	$103.83	$103.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.92 / $51.92 / $51.92	Professional	AS	$51.92	$51.92	$51.92
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $25,511.00	Facility		$2,303.00	$10,133.00	$25,511.00