Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,162.02 / $5,809.00 / $12,228.00	Facility		$1,162.02	$5,809.00	$12,228.00
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 $1,175.48 / $1,416.66 / $1,927.07	Facility		$1,175.48	$1,416.66	$1,927.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.03 / $5,845.00 / $10,047.00	Facility		$767.03	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.20 / $76.20 / $76.20	Facility	AS	$76.20	$76.20	$76.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $739.78 / $1,058.39 / $1,667.09	Professional		$739.78	$1,058.39	$1,667.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.67 / $26.67 / $26.67	Professional	AS	$26.67	$26.67	$26.67
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