Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,430.53 / $6,056.00 / $15,490.80	Facility		$2,430.53	$6,056.00	$15,490.80
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 $1,773.54 / $2,086.52 / $2,895.54	Facility		$1,773.54	$2,086.52	$2,895.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,149.83 / $6,918.00 / $13,500.00	Facility		$1,149.83	$6,918.00	$13,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.08 / $114.08 / $114.08	Facility	AS	$114.08	$114.08	$114.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,111.58 / $1,616.85 / $7,240.00	Professional		$1,111.58	$1,616.85	$7,240.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.08 / $40.08 / $40.08	Professional	AS	$40.08	$40.08	$40.08
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00