Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,074.66 / $5,063.00 / $10,897.00	Facility		$1,074.66	$5,063.00	$10,897.00
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 $1,014.60 / $1,014.60 / $1,014.60	Facility		$1,014.60	$1,014.60	$1,014.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $750.29 / $750.29 / $4,830.16	Facility		$750.29	$750.29	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.48 / $74.48 / $74.48	Facility	AS	$74.48	$74.48	$74.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $724.85 / $1,000.34 / $1,633.43	Professional		$724.85	$1,000.34	$1,633.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.13 / $26.13 / $26.13	Professional	AS	$26.13	$26.13	$26.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00