Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,113.67 / $5,063.00 / $16,219.00	Facility		$1,113.67	$5,063.00	$16,219.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,634.28 / $21,112.96	Facility		$1,402.00	$5,634.28	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,182.20 / $1,428.18 / $1,942.76	Facility		$1,182.20	$1,428.18	$1,942.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.24 / $772.24 / $4,830.16	Facility		$772.24	$772.24	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $745.81 / $1,059.30 / $2,022.68	Professional		$745.81	$1,059.30	$2,022.68
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.89 / $26.89 / $26.89	Professional	AS	$26.89	$26.89	$26.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00