Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,585.69 / $5,063.00 / $7,421.00	Facility		$2,585.69	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,277.47 / $3,913.23 / $5,323.14	Facility		$3,277.47	$3,913.23	$5,323.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,125.46 / $2,500.00	Facility		$500.00	$2,125.46	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $209.94 / $209.94 / $209.94	Facility	AS	$209.94	$209.94	$209.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,043.51 / $2,978.02 / $6,779.60	Professional		$2,043.51	$2,978.02	$6,779.60
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $216.95 / $216.95 / $216.95	Professional	80	$216.95	$216.95	$216.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $108.47 / $108.47 / $108.47	Professional	AS	$108.47	$108.47	$108.47
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