Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,468.18 / $5,045.00 / $7,554.20	Facility		$1,468.18	$5,045.00	$7,554.20
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 $1,742.76 / $2,093.44 / $2,847.71	Facility		$1,742.76	$2,093.44	$2,847.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,130.74 / $1,130.74 / $12,130.59	Facility		$1,130.74	$1,130.74	$12,130.59
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.22 / $1,572.84 / $2,986.47	Professional		$1,093.22	$1,572.84	$2,986.47
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,956.25 / $2,956.25 / $2,956.25	Professional	22	$2,956.25	$2,956.25	$2,956.25
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $78.83 / $78.83 / $78.83	Professional	80	$78.83	$78.83	$78.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.42 / $39.42 / $39.42	Professional	AS	$39.42	$39.42	$39.42
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