Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,730.00 / $15,750.00	Facility		$1,791.00	$5,730.00	$15,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $21,232.89	Facility		$2,329.46	$7,591.82	$21,232.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,721.76 / $1,721.76 / $1,721.76	Facility		$1,721.76	$1,721.76	$1,721.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,217.95 / $1,217.95 / $19,386.27	Facility		$1,217.95	$1,217.95	$19,386.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $121.06 / $121.06 / $121.06	Facility	AS	$121.06	$121.06	$121.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.59 / $1,699.78 / $4,499.00	Professional		$1,168.59	$1,699.78	$4,499.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.13 / $42.13 / $42.13	Professional	AS	$42.13	$42.13	$42.13
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