Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,928.52 / $5,803.00 / $14,497.00	Facility		$1,928.52	$5,803.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,120.04 / $17,035.45	Facility		$875.00	$5,120.04	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,603.68 / $1,603.68 / $1,603.68	Facility		$1,603.68	$1,603.68	$1,603.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.00 / $1,233.00	Facility		$200.00	$625.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.47 / $121.47 / $121.47	Facility	AS	$121.47	$121.47	$121.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.71 / $1,390.62 / $3,112.28	Professional		$1,069.71	$1,390.62	$3,112.28
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $80.14 / $80.14 / $102.29	Professional	80	$80.14	$80.14	$102.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.07 / $40.07 / $51.15	Professional	AS	$40.07	$40.07	$51.15
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00