Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,588.82 / $5,562.00 / $9,488.00	Facility		$1,588.82	$5,562.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,677.41 / $2,012.48 / $2,737.56	Facility		$1,677.41	$2,012.48	$2,737.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,091.96 / $1,091.96 / $20,465.48	Facility		$1,091.96	$1,091.96	$20,465.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.27 / $108.27 / $108.27	Facility	AS	$108.27	$108.27	$108.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,050.93 / $1,525.00 / $3,833.40	Professional		$1,050.93	$1,525.00	$3,833.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $75.78 / $75.78 / $75.78	Professional	80	$75.78	$75.78	$75.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.89 / $37.89 / $37.89	Professional	AS	$37.89	$37.89	$37.89
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