Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,949.48 / $5,063.00 / $6,915.00	Facility		$1,949.48	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $6,671.99 / $21,103.55	Facility		$1,406.20	$6,671.99	$21,103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,154.41 / $2,583.09 / $3,513.77	Facility		$2,154.41	$2,583.09	$3,513.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,401.97 / $19,530.40	Facility		$1,200.00	$1,401.97	$19,530.40
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $139.02 / $139.02 / $139.02	Facility	AS	$139.02	$139.02	$139.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,348.91 / $1,962.05 / $3,659.87	Professional		$1,348.91	$1,962.05	$3,659.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.64 / $48.64 / $48.64	Professional	AS	$48.64	$48.64	$48.64
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