Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,431.38 / $5,700.00 / $9,488.00	Facility		$1,431.38	$5,700.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $838.55 / $1,162.99 / $1,987.64	Facility		$838.55	$1,162.99	$1,987.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $944.77 / $944.77 / $2,172.58	Facility		$944.77	$944.77	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.40 / $94.40 / $94.40	Facility	AS	$94.40	$94.40	$94.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.27 / $1,355.48 / $1,988.18	Professional		$882.27	$1,355.48	$1,988.18
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $63.62 / $63.62 / $63.62	Professional	80	$63.62	$63.62	$63.62
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.81 / $31.81 / $31.81	Professional	AS	$31.81	$31.81	$31.81
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