Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.48 / $5,063.00 / $7,068.00	Facility		$1,021.48	$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 $1,162.05 / $1,403.76 / $1,909.53	Facility		$1,162.05	$1,403.76	$1,909.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $759.22 / $759.22 / $2,225.00	Facility		$759.22	$759.22	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.45 / $75.45 / $75.45	Facility	AS	$75.45	$75.45	$75.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.05 / $1,117.15 / $3,107.39	Professional		$733.05	$1,117.15	$3,107.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.43 / $26.43 / $26.43	Professional	AS	$26.43	$26.43	$26.43
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