Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $4,733.00 / $9,488.00	Facility		$1,352.00	$4,733.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.57 / $4,431.64 / $21,657.35	Facility		$1,184.57	$4,431.64	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,566.95 / $1,877.58 / $2,554.05	Facility		$1,566.95	$1,877.58	$2,554.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,017.08 / $2,500.00	Facility		$500.00	$1,017.08	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.81 / $100.81 / $100.81	Facility	AS	$100.81	$100.81	$100.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $980.47 / $1,413.78 / $2,209.48	Professional		$980.47	$1,413.78	$2,209.48
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $70.70 / $70.70 / $70.70	Professional	80	$70.70	$70.70	$70.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.35 / $35.35 / $35.35	Professional	AS	$35.35	$35.35	$35.35
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