Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.94 / $4,817.00 / $7,626.60	Facility		$1,115.94	$4,817.00	$7,626.60
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 $1,252.23 / $1,517.87 / $2,064.73	Facility		$1,252.23	$1,517.87	$2,064.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $821.34 / $821.34 / $2,172.58	Facility		$821.34	$821.34	$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 $792.64 / $1,198.41 / $2,417.17	Professional		$792.64	$1,198.41	$2,417.17
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.58 / $28.58 / $28.58	Professional	AS	$28.58	$28.58	$28.58
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