Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.30 / $4,592.00 / $6,915.00	Facility		$1,104.30	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,209.66 / $1,460.30 / $1,986.44	Facility		$1,209.66	$1,460.30	$1,986.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $789.35 / $789.35 / $2,172.58	Facility		$789.35	$789.35	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.29 / $78.29 / $78.29	Facility	AS	$78.29	$78.29	$78.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.58 / $1,083.84 / $1,718.46	Professional		$762.58	$1,083.84	$1,718.46
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.50 / $27.50 / $27.50	Professional	AS	$27.50	$27.50	$27.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00