Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,029.80 / $4,841.00 / $6,915.00	Facility		$1,029.80	$4,841.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,085.93 / $1,314.86 / $1,788.60	Facility		$1,085.93	$1,314.86	$1,788.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $711.61 / $711.61 / $2,172.58	Facility		$711.61	$711.61	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.58 / $70.58 / $70.58	Facility	AS	$70.58	$70.58	$70.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $686.63 / $1,046.17 / $1,569.49	Professional		$686.63	$1,046.17	$1,569.49
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.76 / $24.76 / $24.76	Professional	AS	$24.76	$24.76	$24.76
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