Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,403.21 / $5,045.00 / $6,915.00	Facility		$1,403.21	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,565.07 / $1,884.95 / $2,564.07	Facility		$1,565.07	$1,884.95	$2,564.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,018.50 / $1,018.50 / $12,245.53	Facility		$1,018.50	$1,018.50	$12,245.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $101.30 / $101.30 / $101.30	Facility	AS	$101.30	$101.30	$101.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $984.32 / $1,402.52 / $2,551.41	Professional		$984.32	$1,402.52	$2,551.41
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,661.79 / $2,661.79 / $2,661.79	Professional	22	$2,661.79	$2,661.79	$2,661.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.49 / $35.49 / $35.49	Professional	AS	$35.49	$35.49	$35.49
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