Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,495.74 / $6,014.00 / $12,464.00	Facility		$1,495.74	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,117.31 / $39,007.80	Facility		$1,282.27	$7,117.31	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,976.30 / $2,371.10 / $3,225.39	Facility		$1,976.30	$2,371.10	$3,225.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,282.30 / $52,000.00	Facility		$500.00	$1,282.30	$52,000.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.24 / $127.24 / $127.24	Facility	AS	$127.24	$127.24	$127.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,238.20 / $1,787.04 / $3,435.04	Professional		$1,238.20	$1,787.04	$3,435.04
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.29 / $89.29 / $89.29	Professional	80	$89.29	$89.29	$89.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.64 / $44.64 / $44.64	Professional	AS	$44.64	$44.64	$44.64
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