Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,228.02 / $5,063.00 / $7,647.00	Facility		$2,228.02	$5,063.00	$7,647.00
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 $2,482.96 / $2,482.96 / $2,482.96	Facility		$2,482.96	$2,482.96	$2,482.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,858.07 / $1,858.07 / $4,830.16	Facility		$1,858.07	$1,858.07	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.10 / $184.10 / $184.10	Facility	AS	$184.10	$184.10	$184.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,883.44 / $2,620.42 / $4,736.37	Professional		$1,883.44	$2,620.42	$4,736.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $151.56 / $151.56 / $151.56	Professional	80	$151.56	$151.56	$151.56
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $75.78 / $75.78 / $75.78	Professional	AS	$75.78	$75.78	$75.78
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