Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.45 / $5,063.00 / $10,897.00	Facility		$1,145.45	$5,063.00	$10,897.00
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 $1,297.71 / $1,565.24 / $2,129.17	Facility		$1,297.71	$1,565.24	$2,129.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $845.89 / $845.89 / $4,830.16	Facility		$845.89	$845.89	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.22 / $84.22 / $84.22	Facility	AS	$84.22	$84.22	$84.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.38 / $1,161.51 / $1,869.82	Professional		$817.38	$1,161.51	$1,869.82
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.47 / $29.47 / $29.47	Professional	AS	$29.47	$29.47	$29.47
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