Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.57 / $4,908.00 / $6,915.00	Facility		$1,578.57	$4,908.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,701.23 / $2,055.38 / $2,795.93	Facility		$1,701.23	$2,055.38	$2,795.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,112.59 / $6,221.67	Facility		$1,000.00	$1,112.59	$6,221.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.14 / $111.14 / $111.14	Facility	AS	$111.14	$111.14	$111.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,073.33 / $1,531.84 / $2,784.96	Professional		$1,073.33	$1,531.84	$2,784.96
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.40 / $77.40 / $77.40	Professional	80	$77.40	$77.40	$77.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.70 / $38.70 / $38.70	Professional	AS	$38.70	$38.70	$38.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00