Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,714.00 / $14,490.00	Facility		$1,194.00	$4,714.00	$14,490.00
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 $942.12 / $942.12 / $942.12	Facility		$942.12	$942.12	$942.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $491.30 / $491.30 / $14,965.14	Facility		$491.30	$491.30	$14,965.14
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.50 / $48.50 / $48.50	Facility	AS	$48.50	$48.50	$48.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $465.40 / $715.02 / $2,498.00	Professional		$465.40	$715.02	$2,498.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.78 / $16.78 / $16.78	Professional	AS	$16.78	$16.78	$16.78
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