Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.51 / $5,367.00 / $10,897.00	Facility		$1,412.51	$5,367.00	$10,897.00
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 $1,422.20 / $1,715.54 / $2,333.64	Facility		$1,422.20	$1,715.54	$2,333.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $927.36 / $6,918.00 / $13,500.00	Facility		$927.36	$6,918.00	$13,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.12 / $92.12 / $92.12	Facility	AS	$92.12	$92.12	$92.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $895.87 / $1,269.01 / $2,310.98	Professional		$895.87	$1,269.01	$2,310.98
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.29 / $32.29 / $32.29	Professional	AS	$32.29	$32.29	$32.29
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