Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,253.08 / $5,063.00 / $17,192.00	Facility		$1,253.08	$5,063.00	$17,192.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,634.28 / $21,112.96	Facility		$1,206.01	$5,634.28	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,425.03 / $1,723.58 / $2,344.58	Facility		$1,425.03	$1,723.58	$2,344.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.19 / $932.19 / $6,133.73	Facility		$932.19	$932.19	$6,133.73
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.87 / $92.87 / $92.87	Facility	AS	$92.87	$92.87	$92.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $900.06 / $1,254.69 / $2,226.98	Professional		$900.06	$1,254.69	$2,226.98
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.45 / $32.45 / $32.45	Professional	AS	$32.45	$32.45	$32.45
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00