Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,270.15 / $6,439.00 / $16,908.00	Facility		$1,270.15	$6,439.00	$16,908.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $7,200.00 / $39,007.80	Facility		$1,063.95	$7,200.00	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,108.92 / $1,108.92 / $1,108.92	Facility		$1,108.92	$1,108.92	$1,108.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $840.68 / $2,500.00	Facility		$500.00	$840.68	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.44 / $83.44 / $83.44	Facility	AS	$83.44	$83.44	$83.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $816.71 / $1,235.45 / $1,927.82	Professional		$816.71	$1,235.45	$1,927.82
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.89 / $58.89 / $58.89	Professional	80	$58.89	$58.89	$58.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.45 / $29.45 / $29.45	Professional	AS	$29.45	$29.45	$29.45
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00