Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,459.20 / $7,682.86	Facility		$1,202.00	$4,459.20	$7,682.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,146.03 / $1,384.07 / $1,882.73	Facility		$1,146.03	$1,384.07	$1,882.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $749.93 / $749.93 / $4,830.16	Facility		$749.93	$749.93	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.34 / $74.34 / $74.34	Facility	AS	$74.34	$74.34	$74.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $722.77 / $1,110.43 / $1,772.76	Professional		$722.77	$1,110.43	$1,772.76
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $52.12 / $52.12 / $52.12	Professional	80	$52.12	$52.12	$52.12
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.06 / $26.06 / $26.06	Professional	AS	$26.06	$26.06	$26.06
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