Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.41 / $4,852.00 / $9,488.00	Facility		$1,271.41	$4,852.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,448.93 / $1,751.58 / $2,382.67	Facility		$1,448.93	$1,751.58	$2,382.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $947.45 / $947.45 / $6,554.64	Facility		$947.45	$947.45	$6,554.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.06 / $94.06 / $94.06	Facility	AS	$94.06	$94.06	$94.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $914.69 / $1,396.41 / $2,310.69	Professional		$914.69	$1,396.41	$2,310.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.97 / $32.97 / $32.97	Professional	AS	$32.97	$32.97	$32.97
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