Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,057.06 / $5,175.00 / $16,219.00	Facility		$1,057.06	$5,175.00	$16,219.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $21,112.96	Facility		$1,082.02	$3,763.81	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,130.88 / $1,366.50 / $1,858.83	Facility		$1,130.88	$1,366.50	$1,858.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $738.76 / $738.76 / $6,245.00	Facility		$738.76	$738.76	$6,245.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.37 / $73.37 / $73.37	Facility	AS	$73.37	$73.37	$73.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.60 / $1,005.03 / $1,898.44	Professional		$713.60	$1,005.03	$1,898.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.73 / $25.73 / $25.73	Professional	AS	$25.73	$25.73	$25.73
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