Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,014.00 / $9,008.00	Facility		$1,791.00	$6,014.00	$9,008.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,859.62 / $1,859.62 / $1,859.62	Facility		$1,859.62	$1,859.62	$1,859.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,412.84 / $2,225.00 / $57,200.00	Facility		$1,412.84	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $140.11 / $140.11 / $140.11	Facility	AS	$140.11	$140.11	$140.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,439.55 / $2,002.85 / $4,655.91	Professional		$1,439.55	$2,002.85	$4,655.91
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $57.92 / $57.92 / $57.92	Professional	AS	$57.92	$57.92	$57.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00