Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,148.18 / $5,045.00 / $6,915.00	Facility		$1,148.18	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,249.58 / $1,507.11 / $2,050.11	Facility		$1,249.58	$1,507.11	$2,050.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $814.65 / $814.65 / $6,296.27	Facility		$814.65	$814.65	$6,296.27
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.94 / $80.94 / $80.94	Facility	AS	$80.94	$80.94	$80.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.03 / $1,207.17 / $1,773.55	Professional		$787.03	$1,207.17	$1,773.55
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.38 / $28.38 / $28.38	Professional	AS	$28.38	$28.38	$28.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00