Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.41 / $5,809.00 / $12,228.00	Facility		$1,058.41	$5,809.00	$12,228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $976.79 / $1,173.75 / $1,596.65	Facility		$976.79	$1,173.75	$1,596.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $637.63 / $5,845.00 / $10,047.00	Facility		$637.63	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.23 / $63.23 / $63.23	Facility	AS	$63.23	$63.23	$63.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $612.94 / $891.55 / $2,500.50	Professional		$612.94	$891.55	$2,500.50
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $44.20 / $44.20 / $44.20	Professional	80	$44.20	$44.20	$44.20
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.10 / $22.10 / $22.10	Professional	AS	$22.10	$22.10	$22.10
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00