Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.17 / $5,206.00 / $16,219.00	Facility		$1,400.17	$5,206.00	$16,219.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $6,105.48 / $32,724.53	Facility		$1,603.22	$6,105.48	$32,724.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,471.95 / $1,771.64 / $2,409.94	Facility		$1,471.95	$1,771.64	$2,409.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $957.12 / $1,350.00 / $52,000.00	Facility		$957.12	$1,350.00	$52,000.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.07 / $95.07 / $95.07	Facility	AS	$95.07	$95.07	$95.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.17 / $1,321.05 / $2,228.59	Professional		$925.17	$1,321.05	$2,228.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.36 / $33.36 / $33.36	Professional	AS	$33.36	$33.36	$33.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $28,000.00	Facility		$1,998.00	$9,193.00	$28,000.00