Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $4,852.00 / $7,391.00	Facility		$1,791.00	$4,852.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,744.30 / $32,952.16	Facility		$2,226.13	$6,744.30	$32,952.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,088.89 / $2,504.21 / $3,406.46	Facility		$2,088.89	$2,504.21	$3,406.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,357.64 / $1,357.64 / $22,500.00	Facility		$1,357.64	$1,357.64	$22,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.59 / $134.59 / $134.59	Facility	AS	$134.59	$134.59	$134.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,307.71 / $1,892.69 / $3,277.50	Professional		$1,307.71	$1,892.69	$3,277.50
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,536.29 / $3,536.29 / $3,536.29	Professional	22	$3,536.29	$3,536.29	$3,536.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.15 / $47.15 / $47.15	Professional	AS	$47.15	$47.15	$47.15
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $9,932.00 / $23,685.00	Facility		$3,800.00	$9,932.00	$23,685.00