Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.51 / $6,915.00 / $15,301.00	Facility		$1,197.51	$6,915.00	$15,301.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,634.28 / $21,112.96	Facility		$1,680.00	$5,634.28	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,301.75 / $1,569.99 / $2,135.64	Facility		$1,301.75	$1,569.99	$2,135.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $848.49 / $848.49 / $4,830.16	Facility		$848.49	$848.49	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.11 / $84.11 / $84.11	Facility	AS	$84.11	$84.11	$84.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.86 / $1,167.47 / $2,224.77	Professional		$819.86	$1,167.47	$2,224.77
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.56 / $29.56 / $29.56	Professional	AS	$29.56	$29.56	$29.56
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