Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.72 / $4,613.00 / $6,915.00	Facility		$1,356.72	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,605.06 / $2,005.25 / $2,784.96	Facility		$1,605.06	$2,005.25	$2,784.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,107.38 / $6,507.13	Facility		$1,000.00	$1,107.38	$6,507.13
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.98 / $109.98 / $109.98	Facility	AS	$109.98	$109.98	$109.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,069.13 / $1,542.35 / $2,409.26	Professional		$1,069.13	$1,542.35	$2,409.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.54 / $38.54 / $38.54	Professional	AS	$38.54	$38.54	$38.54
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