Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,740.44 / $4,708.00 / $7,631.00	Facility		$1,740.44	$4,708.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,564.77 / $2,564.77 / $2,564.77	Facility		$2,564.77	$2,564.77	$2,564.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,928.51 / $2,500.00	Facility		$500.00	$1,928.51	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.74 / $190.74 / $190.74	Facility	AS	$190.74	$190.74	$190.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,945.74 / $2,367.19 / $4,893.03	Professional		$1,945.74	$2,367.19	$4,893.03
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $156.58 / $156.58 / $156.58	Professional	80	$156.58	$156.58	$156.58
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $78.29 / $78.29 / $78.29	Professional	AS	$78.29	$78.29	$78.29
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00