Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.73 / $5,063.00 / $7,421.00	Facility		$1,585.73	$5,063.00	$7,421.00
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 $1,648.48 / $1,648.48 / $1,648.48	Facility		$1,648.48	$1,648.48	$1,648.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,240.63 / $57,200.00	Facility		$500.00	$1,240.63	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $123.07 / $123.07 / $123.07	Facility	AS	$123.07	$123.07	$123.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,252.60 / $1,742.77 / $3,150.01	Professional		$1,252.60	$1,742.77	$3,150.01
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $100.80 / $100.80 / $100.80	Professional	80	$100.80	$100.80	$100.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.40 / $50.40 / $50.40	Professional	AS	$50.40	$50.40	$50.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00