Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,391.38 / $5,063.00 / $6,915.00	Facility		$1,391.38	$5,063.00	$6,915.00
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 $1,581.26 / $1,908.71 / $2,596.40	Facility		$1,581.26	$1,908.71	$2,596.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,031.88 / $6,474.62	Facility		$1,000.00	$1,031.88	$6,474.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.45 / $102.45 / $102.45	Facility	AS	$102.45	$102.45	$102.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $996.74 / $1,527.70 / $2,246.13	Professional		$996.74	$1,527.70	$2,246.13
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.94 / $35.94 / $35.94	Professional	AS	$35.94	$35.94	$35.94
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