Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,225.00 / $5,333.00 / $12,962.00	Facility		$2,225.00	$5,333.00	$12,962.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $6,478.48 / $14,509.03	Facility		$2,206.31	$6,478.48	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,737.59 / $2,044.23 / $2,837.33	Facility		$1,737.59	$2,044.23	$2,837.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,126.75 / $6,918.00 / $13,500.00	Facility		$1,126.75	$6,918.00	$13,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.77 / $111.77 / $111.77	Facility	AS	$111.77	$111.77	$111.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.23 / $1,584.34 / $7,885.09	Professional		$1,089.23	$1,584.34	$7,885.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.27 / $39.27 / $39.27	Professional	AS	$39.27	$39.27	$39.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,000.00 / $18,613.00	Facility		$1,998.00	$10,000.00	$18,613.00