Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,814.49 / $5,594.00 / $12,962.00	Facility		$1,814.49	$5,594.00	$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 $1,771.58 / $2,084.21 / $2,892.00	Facility		$1,771.58	$2,084.21	$2,892.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,154.44 / $6,918.00 / $13,500.00	Facility		$1,154.44	$6,918.00	$13,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.57 / $114.57 / $114.57	Facility	AS	$114.57	$114.57	$114.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,110.21 / $1,614.85 / $8,079.01	Professional		$1,110.21	$1,614.85	$8,079.01
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.03 / $40.03 / $40.03	Professional	AS	$40.03	$40.03	$40.03
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