Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,053.00	Facility		$1,202.00	$5,063.00	$7,053.00
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 $1,281.41 / $1,547.90 / $2,105.58	Facility		$1,281.41	$1,547.90	$2,105.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.97 / $836.97 / $13,649.44	Facility		$836.97	$836.97	$13,649.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.31 / $1,241.85 / $1,821.51	Professional		$808.31	$1,241.85	$1,821.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.14 / $29.14 / $29.14	Professional	AS	$29.14	$29.14	$29.14
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