Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $4,613.00 / $6,915.00	Facility		$1,925.00	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,742.32 / $3,226.25 / $4,449.57	Facility		$2,742.32	$3,226.25	$4,449.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,653.56 / $1,773.58 / $2,225.00	Facility		$1,653.56	$1,773.58	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $175.11 / $175.11 / $175.11	Facility	AS	$175.11	$175.11	$175.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,708.16 / $2,484.59 / $11,380.00	Professional		$1,708.16	$2,484.59	$11,380.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $61.59 / $61.59 / $61.59	Professional	AS	$61.59	$61.59	$61.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00