Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.90 / $5,594.00 / $10,572.00	Facility		$1,411.90	$5,594.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $5,625.04 / $14,509.03	Facility		$1,406.20	$5,625.04	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,363.44 / $1,644.09 / $2,236.46	Facility		$1,363.44	$1,644.09	$2,236.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $888.67 / $6,527.14 / $10,047.00	Facility		$888.67	$6,527.14	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $88.21 / $88.21 / $88.21	Facility	AS	$88.21	$88.21	$88.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $858.56 / $1,231.54 / $2,139.36	Professional		$858.56	$1,231.54	$2,139.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.96 / $30.96 / $30.96	Professional	AS	$30.96	$30.96	$30.96
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