Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,526.48 / $5,045.00 / $6,915.00	Facility		$1,526.48	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,845.51 / $2,217.75 / $3,016.79	Facility		$1,845.51	$2,217.75	$3,016.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,197.79 / $12,395.13	Facility		$1,000.00	$1,197.79	$12,395.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.97 / $118.97 / $118.97	Facility	AS	$118.97	$118.97	$118.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.11 / $1,779.30 / $2,695.26	Professional		$1,158.11	$1,779.30	$2,695.26
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,131.75 / $3,131.75 / $3,131.75	Professional	22	$3,131.75	$3,131.75	$3,131.75
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.76 / $41.76 / $41.76	Professional	AS	$41.76	$41.76	$41.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00