Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,394.59 / $5,063.00 / $6,915.00	Facility		$1,394.59	$5,063.00	$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 $1,501.08 / $1,806.12 / $2,456.85	Facility		$1,501.08	$1,806.12	$2,456.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $975.72 / $975.72 / $12,080.97	Facility		$975.72	$975.72	$12,080.97
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $97.05 / $97.05 / $97.05	Facility	AS	$97.05	$97.05	$97.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $943.17 / $1,449.06 / $2,193.16	Professional		$943.17	$1,449.06	$2,193.16
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.01 / $34.01 / $34.01	Professional	AS	$34.01	$34.01	$34.01
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