Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,589.65 / $5,175.00 / $17,192.00	Facility		$1,589.65	$5,175.00	$17,192.00
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 $1,973.21 / $2,368.17 / $3,221.42	Facility		$1,973.21	$2,368.17	$3,221.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,280.74 / $2,500.00	Facility		$500.00	$1,280.74	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $127.13 / $127.13 / $127.13	Facility	AS	$127.13	$127.13	$127.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,236.69 / $1,772.81 / $2,855.50	Professional		$1,236.69	$1,772.81	$2,855.50
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.18 / $89.18 / $89.18	Professional	80	$89.18	$89.18	$89.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.59 / $44.59 / $44.59	Professional	AS	$44.59	$44.59	$44.59
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