Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.13 / $4,733.00 / $6,915.00	Facility		$1,113.13	$4,733.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,653.49 / $1,653.49 / $1,653.49	Facility		$1,653.49	$1,653.49	$1,653.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,235.10 / $2,500.00	Facility		$500.00	$1,235.10	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.70 / $122.70 / $122.70	Facility	AS	$122.70	$122.70	$122.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,254.85 / $1,745.89 / $3,155.65	Professional		$1,254.85	$1,745.89	$3,155.65
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $100.98 / $100.98 / $100.98	Professional	80	$100.98	$100.98	$100.98
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.49 / $50.49 / $50.49	Professional	AS	$50.49	$50.49	$50.49
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