Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,207.40 / $4,817.00 / $6,915.00	Facility		$1,207.40	$4,817.00	$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 $1,280.57 / $1,545.45 / $2,102.25	Facility		$1,280.57	$1,545.45	$2,102.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $835.85 / $835.85 / $6,601.32	Facility		$835.85	$835.85	$6,601.32
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $82.88 / $82.88 / $82.88	Facility	AS	$82.88	$82.88	$82.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.04 / $1,239.90 / $1,910.73	Professional		$807.04	$1,239.90	$1,910.73
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.10 / $29.10 / $29.10	Professional	AS	$29.10	$29.10	$29.10
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00