Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,149.96 / $5,045.00 / $6,915.00	Facility		$1,149.96	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,252.82 / $1,512.27 / $2,057.13	Facility		$1,252.82	$1,512.27	$2,057.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $817.63 / $817.63 / $2,172.58	Facility		$817.63	$817.63	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.31 / $81.31 / $81.31	Facility	AS	$81.31	$81.31	$81.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $789.72 / $1,127.58 / $1,779.61	Professional		$789.72	$1,127.58	$1,779.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.47 / $28.47 / $28.47	Professional	AS	$28.47	$28.47	$28.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00