Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,024.76 / $6,915.00 / $14,497.00	Facility		$1,024.76	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,600.00 / $2,663.37 / $3,027.60	Facility		$1,600.00	$2,663.37	$3,027.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $617.15 / $617.15 / $617.15	Facility		$617.15	$617.15	$617.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $470.38 / $470.38 / $470.38	Facility		$470.38	$470.38	$470.38
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $46.23 / $46.23 / $46.23	Facility	AS	$46.23	$46.23	$46.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $409.41 / $532.23 / $1,223.48	Professional		$409.41	$532.23	$1,223.48
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.34 / $15.34 / $19.57	Professional	AS	$15.34	$15.34	$19.57
United Facility/Professional Facility Modifier Low / Median / High Price $765.00 / $5,332.00 / $11,889.00	Facility		$765.00	$5,332.00	$11,889.00