Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $4,829.00 / $6,915.00	Facility		$1,202.00	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,172.33 / $1,172.33 / $1,172.33	Facility		$1,172.33	$1,172.33	$1,172.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $855.93 / $855.93 / $4,830.16	Facility		$855.93	$855.93	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.08 / $85.08 / $85.08	Facility	AS	$85.08	$85.08	$85.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $827.11 / $1,270.74 / $1,863.87	Professional		$827.11	$1,270.74	$1,863.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.82 / $29.82 / $29.82	Professional	AS	$29.82	$29.82	$29.82
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