Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,592.00 / $6,915.00	Facility		$1,202.00	$4,592.00	$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 $1,067.99 / $1,067.99 / $1,067.99	Facility		$1,067.99	$1,067.99	$1,067.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $939.63 / $939.63 / $6,171.23	Facility		$939.63	$939.63	$6,171.23
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.73 / $93.73 / $93.73	Facility	AS	$93.73	$93.73	$93.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.48 / $1,266.93 / $2,040.47	Professional		$905.48	$1,266.93	$2,040.47
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $65.30 / $65.30 / $65.30	Professional	80	$65.30	$65.30	$65.30
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.65 / $32.65 / $32.65	Professional	AS	$32.65	$32.65	$32.65
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