Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.35 / $6,915.00 / $14,497.00	Facility		$1,362.35	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,251.00 / $7,161.36 / $30,399.19	Facility		$1,251.00	$7,161.36	$30,399.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,918.96 / $1,918.96 / $1,918.96	Facility		$1,918.96	$1,918.96	$1,918.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.00 / $1,461.02	Facility		$200.00	$625.00	$1,461.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.09 / $143.09 / $143.09	Facility	AS	$143.09	$143.09	$143.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,268.22 / $1,648.69 / $5,945.00	Professional		$1,268.22	$1,648.69	$5,945.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $95.01 / $95.01 / $121.28	Professional	80	$95.01	$95.01	$121.28
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.50 / $47.50 / $60.64	Professional	AS	$47.50	$47.50	$60.64
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00