Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,184.42 / $5,045.00 / $6,915.00	Facility		$1,184.42	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,225.65 / $1,225.65 / $1,225.65	Facility		$1,225.65	$1,225.65	$1,225.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $875.98 / $2,225.00 / $57,200.00	Facility		$875.98	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $87.09	Facility	AS	$87.09	$87.09	$87.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $834.08 / $1,281.44 / $1,879.56	Professional		$834.08	$1,281.44	$1,879.56
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.07 / $30.07 / $30.07	Professional	AS	$30.07	$30.07	$30.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00