Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,059.69 / $5,063.00 / $6,915.00	Facility		$1,059.69	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,150.65 / $1,395.36 / $1,898.10	Facility		$1,150.65	$1,395.36	$1,898.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $755.12 / $4,830.16	Facility		$755.12	$755.12	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.86 / $74.86 / $74.86	Facility	AS	$74.86	$74.86	$74.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $728.66 / $1,105.73 / $1,642.04	Professional		$728.66	$1,105.73	$1,642.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.27 / $26.27 / $26.27	Professional	AS	$26.27	$26.27	$26.27
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