Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,681.84 / $5,063.00 / $7,421.00	Facility		$1,681.84	$5,063.00	$7,421.00
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 $1,758.16 / $1,758.16 / $1,758.16	Facility		$1,758.16	$1,758.16	$1,758.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,374.86 / $2,225.00 / $57,200.00	Facility		$1,374.86	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $136.44 / $136.44 / $136.44	Facility	AS	$136.44	$136.44	$136.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,402.05 / $1,950.67 / $4,601.50	Professional		$1,402.05	$1,950.67	$4,601.50
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $56.41 / $56.41 / $56.41	Professional	AS	$56.41	$56.41	$56.41
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