Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,098.20 / $5,063.00 / $7,391.00	Facility		$1,098.20	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,625.09 / $13,137.87	Facility		$1,603.22	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,193.76 / $1,440.57 / $1,959.60	Facility		$1,193.76	$1,440.57	$1,959.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.94 / $778.94 / $13,205.36	Facility		$778.94	$778.94	$13,205.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.17 / $77.17 / $77.17	Facility	AS	$77.17	$77.17	$77.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $752.27 / $1,153.56 / $1,805.43	Professional		$752.27	$1,153.56	$1,805.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.12 / $27.12 / $27.12	Professional	AS	$27.12	$27.12	$27.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00