Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,233.07 / $5,363.00 / $16,164.20	Facility		$1,233.07	$5,363.00	$16,164.20
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 $1,238.31 / $1,493.58 / $2,031.72	Facility		$1,238.31	$1,493.58	$2,031.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $807.58 / $807.58 / $6,571.73	Facility		$807.58	$807.58	$6,571.73
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.34 / $80.34 / $80.34	Facility	AS	$80.34	$80.34	$80.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $779.96 / $1,117.74 / $2,692.86	Professional		$779.96	$1,117.74	$2,692.86
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.12 / $28.12 / $28.12	Professional	AS	$28.12	$28.12	$28.12
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00