Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,432.49 / $4,829.00 / $7,987.50	Facility		$1,432.49	$4,829.00	$7,987.50
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 $1,624.74 / $1,911.47 / $2,659.95	Facility		$1,624.74	$1,911.47	$2,659.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,056.44 / $1,056.44 / $12,338.45	Facility		$1,056.44	$1,056.44	$12,338.45
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.91 / $104.91 / $104.91	Facility	AS	$104.91	$104.91	$104.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,021.14 / $1,568.84 / $2,301.11	Professional		$1,021.14	$1,568.84	$2,301.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.82 / $36.82 / $36.82	Professional	AS	$36.82	$36.82	$36.82
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