Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $9,488.00	Facility		$1,202.00	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,703.43 / $2,052.36 / $2,791.82	Facility		$1,703.43	$2,052.36	$2,791.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,108.89 / $1,108.89 / $4,830.16	Facility		$1,108.89	$1,108.89	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.09 / $110.09 / $110.09	Facility	AS	$110.09	$110.09	$110.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,071.75 / $1,558.91 / $3,632.00	Professional		$1,071.75	$1,558.91	$3,632.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.64 / $38.64 / $38.64	Professional	AS	$38.64	$38.64	$38.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00