Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,763.44 / $5,664.00 / $9,023.00	Facility		$1,763.44	$5,664.00	$9,023.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,840.86 / $1,840.86 / $1,840.86	Facility		$1,840.86	$1,840.86	$1,840.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,407.32 / $2,225.00 / $57,200.00	Facility		$1,407.32	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.58 / $139.58 / $139.58	Facility	AS	$139.58	$139.58	$139.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,433.33 / $1,994.19 / $4,574.10	Professional		$1,433.33	$1,994.19	$4,574.10
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $115.34 / $115.34 / $115.34	Professional	80	$115.34	$115.34	$115.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $57.67 / $57.67 / $57.67	Professional	AS	$57.67	$57.67	$57.67
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