Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,719.62 / $5,063.00 / $7,421.00	Facility		$1,719.62	$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 $1,801.63 / $1,801.63 / $1,801.63	Facility		$1,801.63	$1,801.63	$1,801.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,363.02 / $57,200.00	Facility		$500.00	$1,363.02	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.37 / $135.37 / $135.37	Facility	AS	$135.37	$135.37	$135.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,383.45 / $1,924.80 / $3,479.04	Professional		$1,383.45	$1,924.80	$3,479.04
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $111.33 / $111.33 / $111.33	Professional	80	$111.33	$111.33	$111.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $55.66 / $55.66 / $55.66	Professional	AS	$55.66	$55.66	$55.66
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