Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,672.71 / $4,947.00 / $7,000.00	Facility		$1,672.71	$4,947.00	$7,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.69 / $2,340.05 / $3,183.15	Facility		$1,943.69	$2,340.05	$3,183.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,269.92 / $1,269.92 / $6,371.69	Facility		$1,269.92	$1,269.92	$6,371.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,221.98 / $1,877.40 / $2,753.72	Professional		$1,221.98	$1,877.40	$2,753.72
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.06 / $44.06 / $44.06	Professional	AS	$44.06	$44.06	$44.06
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