Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.60 / $5,405.00 / $10,572.00	Facility		$1,051.60	$5,405.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.36 / $1,257.05 / $1,709.96	Facility		$1,039.36	$1,257.05	$1,709.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $679.98 / $5,845.00 / $10,047.00	Facility		$679.98	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.59 / $67.59 / $67.59	Facility	AS	$67.59	$67.59	$67.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $656.45 / $924.41 / $2,310.02	Professional		$656.45	$924.41	$2,310.02
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.67 / $23.67 / $23.67	Professional	AS	$23.67	$23.67	$23.67
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $14,120.00	Facility		$1,519.00	$6,689.00	$14,120.00