Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,338.99 / $5,063.00 / $7,421.00	Facility		$1,338.99	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,461.53 / $1,763.51 / $2,398.88	Facility		$1,461.53	$1,763.51	$2,398.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $953.40 / $953.40 / $11,675.48	Facility		$953.40	$953.40	$11,675.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.58 / $94.58 / $94.58	Facility	AS	$94.58	$94.58	$94.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $920.92 / $1,414.87 / $2,075.26	Professional		$920.92	$1,414.87	$2,075.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.20 / $33.20 / $33.20	Professional	AS	$33.20	$33.20	$33.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,062.00 / $17,476.00	Facility		$3,293.00	$9,062.00	$17,476.00