Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,008.45 / $5,045.00 / $7,421.00	Facility		$1,008.45	$5,045.00	$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 $1,094.83 / $1,327.89 / $1,806.33	Facility		$1,094.83	$1,327.89	$1,806.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $718.67 / $718.67 / $6,091.65	Facility		$718.67	$718.67	$6,091.65
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.28 / $71.28 / $71.28	Facility	AS	$71.28	$71.28	$71.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $693.44 / $1,055.52 / $1,562.65	Professional		$693.44	$1,055.52	$1,562.65
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.00 / $25.00 / $25.00	Professional	AS	$25.00	$25.00	$25.00
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