Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,046.38 / $5,405.00 / $10,572.00	Facility		$1,046.38	$5,405.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $13,523.26	Facility		$1,082.02	$3,763.81	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.76 / $1,254.59 / $1,706.63	Facility		$1,037.76	$1,254.59	$1,706.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $678.50 / $5,845.00 / $10,047.00	Facility		$678.50	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.22 / $67.22 / $67.22	Facility	AS	$67.22	$67.22	$67.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $655.16 / $918.67 / $1,929.27	Professional		$655.16	$918.67	$1,929.27
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.62 / $23.62 / $23.62	Professional	AS	$23.62	$23.62	$23.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,496.00 / $18,613.00	Facility		$1,998.00	$10,496.00	$18,613.00