Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,063.00 / $10,139.00	Facility		$2,300.00	$5,063.00	$10,139.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $21,232.89	Facility		$2,329.46	$7,591.82	$21,232.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,406.19 / $1,684.01 / $2,290.73	Facility		$1,406.19	$1,684.01	$2,290.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $909.46 / $909.46 / $20,879.68	Facility		$909.46	$909.46	$20,879.68
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.07 / $90.07 / $90.07	Facility	AS	$90.07	$90.07	$90.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $879.41 / $1,279.14 / $4,492.00	Professional		$879.41	$1,279.14	$4,492.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.71 / $31.71 / $31.71	Professional	AS	$31.71	$31.71	$31.71
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00