Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,478.52 / $4,829.00 / $6,915.00	Facility		$1,478.52	$4,829.00	$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 $1,891.23 / $2,271.78 / $3,090.30	Facility		$1,891.23	$2,271.78	$3,090.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,232.17 / $12,356.56	Facility		$1,200.00	$1,232.17	$12,356.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $122.40 / $122.40 / $122.40	Facility	AS	$122.40	$122.40	$122.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,186.33 / $1,822.65 / $2,673.39	Professional		$1,186.33	$1,822.65	$2,673.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.77 / $42.77 / $42.77	Professional	AS	$42.77	$42.77	$42.77
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