Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,036.42 / $5,595.00 / $12,228.00	Facility		$1,036.42	$5,595.00	$12,228.00
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 $1,024.52 / $1,238.69 / $1,684.98	Facility		$1,024.52	$1,238.69	$1,684.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.94 / $5,845.00 / $10,047.00	Facility		$669.94	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.47 / $66.47 / $66.47	Facility	AS	$66.47	$66.47	$66.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $646.86 / $940.88 / $2,620.00	Professional		$646.86	$940.88	$2,620.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.32 / $23.32 / $23.32	Professional	AS	$23.32	$23.32	$23.32
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