Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,408.40 / $5,595.00 / $11,445.00	Facility		$1,408.40	$5,595.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,919.15 / $6,046.00 / $14,509.03	Facility		$1,919.15	$6,046.00	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,414.79 / $1,664.46 / $2,321.15	Facility		$1,414.79	$1,664.46	$2,321.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $924.41 / $5,845.00 / $10,047.00	Facility		$924.41	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.20 / $92.20 / $92.20	Facility	AS	$92.20	$92.20	$92.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $891.08 / $1,269.70 / $2,741.43	Professional		$891.08	$1,269.70	$2,741.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.13 / $32.13 / $32.13	Professional	AS	$32.13	$32.13	$32.13
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