Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,392.05 / $5,063.00 / $7,391.00	Facility		$1,392.05	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,516.40 / $12,227.65	Facility		$1,402.00	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,524.18 / $1,834.92 / $2,496.03	Facility		$1,524.18	$1,834.92	$2,496.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $991.71 / $991.71 / $6,390.44	Facility		$991.71	$991.71	$6,390.44
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.50 / $98.50 / $98.50	Facility	AS	$98.50	$98.50	$98.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $958.21 / $1,376.33 / $2,698.56	Professional		$958.21	$1,376.33	$2,698.56
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.54 / $34.54 / $34.54	Professional	AS	$34.54	$34.54	$34.54
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