Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,289.27 / $4,829.00 / $6,915.00	Facility		$1,289.27	$4,829.00	$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 $1,359.54 / $1,629.63 / $2,216.78	Facility		$1,359.54	$1,629.63	$2,216.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.40 / $883.40 / $13,674.63	Facility		$883.40	$883.40	$13,674.63
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.35 / $87.35 / $87.35	Facility	AS	$87.35	$87.35	$87.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.00 / $1,237.82 / $1,985.16	Professional		$851.00	$1,237.82	$1,985.16
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.68 / $30.68 / $30.68	Professional	AS	$30.68	$30.68	$30.68
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