Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,650.85 / $5,562.00 / $9,008.00	Facility		$1,650.85	$5,562.00	$9,008.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $55,752.34	Facility		$1,282.27	$5,155.99	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,403.14 / $2,669.28 / $3,914.42	Facility		$2,403.14	$2,669.28	$3,914.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,548.07 / $2,500.00	Facility		$500.00	$1,548.07	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $153.38 / $153.38 / $153.38	Facility	AS	$153.38	$153.38	$153.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,502.72 / $2,149.67 / $3,386.35	Professional		$1,502.72	$2,149.67	$3,386.35
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $108.36 / $108.36 / $108.36	Professional	80	$108.36	$108.36	$108.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $54.18 / $54.18 / $54.18	Professional	AS	$54.18	$54.18	$54.18
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00