Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,268.70 / $5,595.00 / $10,000.00	Facility		$1,268.70	$5,595.00	$10,000.00
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 $1,297.91 / $1,572.41 / $2,138.94	Facility		$1,297.91	$1,572.41	$2,138.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $850.72 / $850.72 / $6,547.98	Facility		$850.72	$850.72	$6,547.98
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.26 / $84.26 / $84.26	Facility	AS	$84.26	$84.26	$84.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $821.13 / $1,244.94 / $2,097.00	Professional		$821.13	$1,244.94	$2,097.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.21 / $59.21 / $59.21	Professional	80	$59.21	$59.21	$59.21
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.61 / $29.61 / $29.61	Professional	AS	$29.61	$29.61	$29.61
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