Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,671.79 / $5,045.00 / $6,915.00	Facility		$1,671.79	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,884.41 / $2,270.81 / $3,088.97	Facility		$1,884.41	$2,270.81	$3,088.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,227.18 / $12,384.11	Facility		$1,200.00	$1,227.18	$12,384.11
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.06 / $122.06 / $122.06	Facility	AS	$122.06	$122.06	$122.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.83 / $1,821.87 / $2,949.21	Professional		$1,185.83	$1,821.87	$2,949.21
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.76 / $42.76 / $42.76	Professional	AS	$42.76	$42.76	$42.76
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