Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.60 / $4,592.00 / $6,915.00	Facility		$1,245.60	$4,592.00	$6,915.00
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 $1,217.97 / $1,432.92 / $1,987.20	Facility		$1,217.97	$1,432.92	$1,987.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $787.96 / $787.96 / $2,225.00	Facility		$787.96	$787.96	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.22 / $78.22 / $78.22	Facility	AS	$78.22	$78.22	$78.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $762.87 / $1,172.05 / $3,817.00	Professional		$762.87	$1,172.05	$3,817.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.51 / $27.51 / $27.51	Professional	AS	$27.51	$27.51	$27.51
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