Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,858.00 / $14,497.00	Facility		$1,791.00	$6,858.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,136.49 / $17,035.45	Facility		$875.00	$5,136.49	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,630.96 / $2,630.96 / $2,630.96	Facility		$2,630.96	$2,630.96	$2,630.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $2,000.53	Facility		$200.00	$617.00	$2,000.53
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,728.29 / $2,246.78 / $4,046.13	Professional		$1,728.29	$2,246.78	$4,046.13
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.73 / $64.73 / $82.64	Professional	AS	$64.73	$64.73	$82.64
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00