Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.45 / $4,592.00 / $7,268.00	Facility		$1,145.45	$4,592.00	$7,268.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,294.71 / $1,561.67 / $2,124.32	Facility		$1,294.71	$1,561.67	$2,124.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.53 / $845.53 / $4,830.16	Facility		$845.53	$845.53	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.96 / $83.96 / $83.96	Facility	AS	$83.96	$83.96	$83.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $815.52 / $1,177.10 / $1,837.75	Professional		$815.52	$1,177.10	$1,837.75
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.81 / $58.81 / $58.81	Professional	80	$58.81	$58.81	$58.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.40 / $29.40 / $29.40	Professional	AS	$29.40	$29.40	$29.40
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