Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.48 / $5,063.00 / $7,391.00	Facility		$1,578.48	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,665.00 / $6,671.99 / $21,103.55	Facility		$1,665.00	$6,671.99	$21,103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,814.75 / $2,181.71 / $2,967.78	Facility		$1,814.75	$2,181.71	$2,967.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.45 / $1,178.45 / $12,822.69	Facility		$1,178.45	$1,178.45	$12,822.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.95 / $116.95 / $116.95	Facility	AS	$116.95	$116.95	$116.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.31 / $1,750.40 / $2,567.42	Professional		$1,139.31	$1,750.40	$2,567.42
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,080.90 / $3,080.90 / $3,080.90	Professional	22	$3,080.90	$3,080.90	$3,080.90
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.08 / $41.08 / $41.08	Professional	AS	$41.08	$41.08	$41.08
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