Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,618.09 / $4,592.00 / $6,915.00	Facility		$1,618.09	$4,592.00	$6,915.00
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 $1,823.04 / $2,187.96 / $2,976.27	Facility		$1,823.04	$2,187.96	$2,976.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,191.83 / $4,830.16	Facility		$1,000.00	$1,191.83	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.18 / $118.18 / $118.18	Facility	AS	$118.18	$118.18	$118.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,142.57 / $1,675.09 / $2,574.76	Professional		$1,142.57	$1,675.09	$2,574.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.20 / $41.20 / $41.20	Professional	AS	$41.20	$41.20	$41.20
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