Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,243.50 / $5,063.00 / $7,068.00	Facility		$1,243.50	$5,063.00	$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 $1,222.71 / $1,353.71 / $1,995.51	Facility		$1,222.71	$1,353.71	$1,995.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $792.20 / $792.20 / $2,225.00	Facility		$792.20	$792.20	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.67 / $78.67 / $78.67	Facility	AS	$78.67	$78.67	$78.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $766.06 / $1,114.27 / $3,855.00	Professional		$766.06	$1,114.27	$3,855.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.62 / $27.62 / $27.62	Professional	AS	$27.62	$27.62	$27.62
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