Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,907.35 / $5,730.00 / $10,374.00	Facility		$1,907.35	$5,730.00	$10,374.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,059.29 / $2,472.71 / $3,363.63	Facility		$2,059.29	$2,472.71	$3,363.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,338.52 / $2,500.00	Facility		$500.00	$1,338.52	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $132.94 / $132.94 / $132.94	Facility	AS	$132.94	$132.94	$132.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.27 / $1,851.80 / $3,182.96	Professional		$1,291.27	$1,851.80	$3,182.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,491.84 / $3,491.84 / $3,491.84	Professional	22	$3,491.84	$3,491.84	$3,491.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.56 / $46.56 / $46.56	Professional	AS	$46.56	$46.56	$46.56
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