Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,580.93 / $5,045.00 / $6,915.00	Facility		$1,580.93	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,057.30 / $2,481.65 / $3,375.77	Facility		$2,057.30	$2,481.65	$3,375.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,341.75 / $1,341.75 / $4,830.16	Facility		$1,341.75	$1,341.75	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $133.40 / $133.40 / $133.40	Facility	AS	$133.40	$133.40	$133.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,295.93 / $1,991.02 / $2,920.35	Professional		$1,295.93	$1,991.02	$2,920.35
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $46.73 / $46.73 / $46.73	Professional	AS	$46.73	$46.73	$46.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00