Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,817.00 / $6,915.00	Facility		$933.25	$4,817.00	$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 $1,201.20 / $1,448.67 / $1,970.61	Facility		$1,201.20	$1,448.67	$1,970.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.48 / $784.48 / $13,076.22	Facility		$784.48	$784.48	$13,076.22
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $756.50 / $1,076.94 / $1,768.39	Professional		$756.50	$1,076.94	$1,768.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.28 / $27.28 / $27.28	Professional	AS	$27.28	$27.28	$27.28
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