Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,647.00	Facility		$1,374.00	$5,063.00	$7,647.00
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 $1,559.69 / $1,889.22 / $2,569.91	Facility		$1,559.69	$1,889.22	$2,569.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,021.84 / $1,021.84 / $2,172.58	Facility		$1,021.84	$1,021.84	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.08 / $102.08 / $102.08	Facility	AS	$102.08	$102.08	$102.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $986.57 / $1,345.32 / $2,223.19	Professional		$986.57	$1,345.32	$2,223.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $71.14 / $71.14 / $71.14	Professional	80	$71.14	$71.14	$71.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.57 / $35.57 / $35.57	Professional	AS	$35.57	$35.57	$35.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00