Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,044.27 / $5,063.00 / $9,488.00	Facility		$1,044.27	$5,063.00	$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 $996.89 / $996.89 / $996.89	Facility		$996.89	$996.89	$996.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $849.65 / $849.65 / $6,354.19	Facility		$849.65	$849.65	$6,354.19
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.97 / $84.97 / $84.97	Facility	AS	$84.97	$84.97	$84.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $811.75 / $1,106.93 / $1,829.25	Professional		$811.75	$1,106.93	$1,829.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.27 / $29.27 / $29.27	Professional	AS	$29.27	$29.27	$29.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00