Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.08 / $5,063.00 / $7,421.00	Facility		$1,290.08	$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 $1,262.55 / $1,485.47 / $2,020.67	Facility		$1,262.55	$1,485.47	$2,020.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.85 / $814.85 / $2,225.00	Facility		$814.85	$814.85	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.45 / $79.45 / $79.45	Facility	AS	$79.45	$79.45	$79.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $775.73 / $1,150.42 / $4,907.00	Professional		$775.73	$1,150.42	$4,907.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.97 / $27.97 / $27.97	Professional	AS	$27.97	$27.97	$27.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00