Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,293.50 / $4,829.00 / $6,915.00	Facility		$1,293.50	$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 $1,447.41 / $1,745.69 / $2,374.65	Facility		$1,447.41	$1,745.69	$2,374.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $943.36 / $943.36 / $4,830.16	Facility		$943.36	$943.36	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.69 / $93.69 / $93.69	Facility	AS	$93.69	$93.69	$93.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.60 / $1,388.29 / $2,184.31	Professional		$911.60	$1,388.29	$2,184.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.86 / $32.86 / $32.86	Professional	AS	$32.86	$32.86	$32.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00