Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,067.01 / $5,063.00 / $7,421.00	Facility		$1,067.01	$5,063.00	$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 $1,174.33 / $1,421.30 / $1,933.37	Facility		$1,174.33	$1,421.30	$1,933.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $768.89 / $768.89 / $6,146.65	Facility		$768.89	$768.89	$6,146.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.39 / $76.39 / $76.39	Facility	AS	$76.39	$76.39	$76.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $742.21 / $1,132.60 / $2,097.00	Professional		$742.21	$1,132.60	$2,097.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.76 / $26.76 / $26.76	Professional	AS	$26.76	$26.76	$26.76
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