Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,313.10 / $4,613.00 / $7,068.00	Facility		$1,313.10	$4,613.00	$7,068.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.81 / $923.81 / $923.81	Facility		$923.81	$923.81	$923.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.32 / $832.32 / $2,225.00	Facility		$832.32	$832.32	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $82.39 / $82.39 / $82.39	Facility	AS	$82.39	$82.39	$82.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.23 / $1,165.42 / $3,797.00	Professional		$801.23	$1,165.42	$3,797.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.89 / $28.89 / $28.89	Professional	AS	$28.89	$28.89	$28.89
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00