Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $4,592.00 / $7,421.00	Facility		$1,013.29	$4,592.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,726.94 / $2,031.69 / $2,847.29	Facility		$1,726.94	$2,031.69	$2,847.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,133.06 / $4,830.16	Facility		$1,000.00	$1,133.06	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,093.05 / $1,671.95 / $2,463.16	Professional		$1,093.05	$1,671.95	$2,463.16
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.40 / $39.40 / $39.40	Professional	AS	$39.40	$39.40	$39.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00