Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,049.28 / $5,063.00 / $6,915.00	Facility		$2,049.28	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,294.48 / $2,764.26 / $3,760.22	Facility		$2,294.48	$2,764.26	$3,760.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $1,498.78 / $12,363.64	Facility		$1,200.00	$1,498.78	$12,363.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.31 / $149.31 / $149.31	Facility	AS	$149.31	$149.31	$149.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,443.52 / $2,069.23 / $3,252.94	Professional		$1,443.52	$2,069.23	$3,252.94
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $52.05 / $52.05 / $52.05	Professional	AS	$52.05	$52.05	$52.05
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