Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.50 / $4,592.00 / $7,764.60	Facility		$1,157.50	$4,592.00	$7,764.60
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 $1,259.81 / $1,516.22 / $2,062.48	Facility		$1,259.81	$1,516.22	$2,062.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $823.12 / $823.12 / $13,558.88	Facility		$823.12	$823.12	$13,558.88
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.76 / $81.76 / $81.76	Facility	AS	$81.76	$81.76	$81.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $791.78 / $1,154.91 / $1,902.91	Professional		$791.78	$1,154.91	$1,902.91
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $57.10 / $57.10 / $57.10	Professional	80	$57.10	$57.10	$57.10
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.55 / $28.55 / $28.55	Professional	AS	$28.55	$28.55	$28.55
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