Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,739.66 / $5,063.00 / $6,915.00	Facility		$1,739.66	$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 $1,813.34 / $2,180.09 / $2,965.56	Facility		$1,813.34	$2,180.09	$2,965.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,178.07 / $1,178.07 / $6,297.09	Facility		$1,178.07	$1,178.07	$6,297.09
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $116.84 / $116.84 / $116.84	Facility	AS	$116.84	$116.84	$116.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.46 / $1,749.08 / $2,811.85	Professional		$1,138.46	$1,749.08	$2,811.85
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.05 / $41.05 / $41.05	Professional	AS	$41.05	$41.05	$41.05
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