Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,087.42 / $5,063.00 / $7,421.00	Facility		$1,087.42	$5,063.00	$7,421.00
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 $1,043.84 / $1,227.34 / $1,669.55	Facility		$1,043.84	$1,227.34	$1,669.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.38 / $675.38 / $2,225.00	Facility		$675.38	$675.38	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.84 / $65.84 / $65.84	Facility	AS	$65.84	$65.84	$65.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.94 / $959.22 / $4,117.00	Professional		$640.94	$959.22	$4,117.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.11 / $23.11 / $23.11	Professional	AS	$23.11	$23.11	$23.11
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