Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,102.94 / $5,506.00 / $11,536.00	Facility		$1,102.94	$5,506.00	$11,536.00
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 $1,082.69 / $1,308.39 / $1,779.80	Facility		$1,082.69	$1,308.39	$1,779.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $707.51 / $5,845.00 / $10,047.00	Facility		$707.51	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.31 / $70.31 / $70.31	Facility	AS	$70.31	$70.31	$70.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.25 / $966.79 / $1,566.32	Professional		$683.25	$966.79	$1,566.32
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.64 / $24.64 / $24.64	Professional	AS	$24.64	$24.64	$24.64
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