Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,644.08 / $5,063.00 / $9,488.00	Facility		$1,644.08	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $758.00 / $2,889.99 / $7,513.42	Facility		$758.00	$2,889.99	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,532.11 / $1,532.11 / $1,532.11	Facility		$1,532.11	$1,532.11	$1,532.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,005.00 / $3,685.16	Facility		$512.00	$1,005.00	$3,685.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.24 / $1,338.01 / $2,488.17	Professional		$1,029.24	$1,338.01	$2,488.17
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $180.52 / $180.52 / $239.94	Professional	80	$180.52	$180.52	$239.94
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $90.26 / $90.26 / $119.97	Professional	AS	$90.26	$90.26	$119.97
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00