Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,063.00 / $7,391.00	Facility		$1,791.00	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,999.60 / $1,999.60 / $1,999.60	Facility		$1,999.60	$1,999.60	$1,999.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,454.27 / $6,192.49	Facility		$1,350.00	$1,454.27	$6,192.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $144.51 / $144.51 / $144.51	Facility	AS	$144.51	$144.51	$144.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,405.47 / $2,017.95 / $3,167.21	Professional		$1,405.47	$2,017.95	$3,167.21
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $101.35 / $101.35 / $101.35	Professional	80	$101.35	$101.35	$101.35
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.68 / $50.68 / $50.68	Professional	AS	$50.68	$50.68	$50.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00