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 $1,206.01 / $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 $1,307.15 / $1,585.14 / $2,156.27	Facility		$1,307.15	$1,585.14	$2,156.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $857.80 / $857.80 / $4,830.16	Facility		$857.80	$857.80	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.30 / $85.30 / $85.30	Facility	AS	$85.30	$85.30	$85.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.77 / $1,264.58 / $1,865.37	Professional		$827.77	$1,264.58	$1,865.37
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.85 / $29.85 / $29.85	Professional	AS	$29.85	$29.85	$29.85
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