Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,229.41 / $5,063.00 / $7,421.00	Facility		$1,229.41	$5,063.00	$7,421.00
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 $1,373.33 / $1,669.46 / $2,270.96	Facility		$1,373.33	$1,669.46	$2,270.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $904.29 / $904.29 / $6,147.06	Facility		$904.29	$904.29	$6,147.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.00 / $90.00 / $90.00	Facility	AS	$90.00	$90.00	$90.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $871.81 / $1,283.42 / $2,145.78	Professional		$871.81	$1,283.42	$2,145.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.43 / $31.43 / $31.43	Professional	AS	$31.43	$31.43	$31.43
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