Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,157.32 / $5,063.00 / $7,767.00	Facility		$1,157.32	$5,063.00	$7,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,345.01 / $1,607.72 / $2,244.48	Facility		$1,345.01	$1,607.72	$2,244.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $892.02 / $892.02 / $6,261.67	Facility		$892.02	$892.02	$6,261.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.58 / $88.58 / $88.58	Facility	AS	$88.58	$88.58	$88.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $861.64 / $1,226.28 / $1,941.68	Professional		$861.64	$1,226.28	$1,941.68
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.07 / $31.07 / $31.07	Professional	AS	$31.07	$31.07	$31.07
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