Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.66 / $5,063.00 / $9,488.00	Facility		$1,527.66	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $13,137.87	Facility		$1,206.01	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,938.59 / $2,343.33 / $3,187.62	Facility		$1,938.59	$2,343.33	$3,187.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,267.35 / $12,050.27	Facility		$1,000.00	$1,267.35	$12,050.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.35 / $126.35 / $126.35	Facility	AS	$126.35	$126.35	$126.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.71 / $1,730.54 / $2,801.48	Professional		$1,223.71	$1,730.54	$2,801.48
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.12 / $44.12 / $44.12	Professional	AS	$44.12	$44.12	$44.12
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