Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,009.10 / $5,045.00 / $6,915.00	Facility		$1,009.10	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,126.55 / $1,362.54 / $1,853.45	Facility		$1,126.55	$1,362.54	$1,853.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $737.28 / $737.28 / $2,172.58	Facility		$737.28	$737.28	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.26 / $73.26 / $73.26	Facility	AS	$73.26	$73.26	$73.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $711.52 / $1,089.07 / $1,603.40	Professional		$711.52	$1,089.07	$1,603.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.65 / $25.65 / $25.65	Professional	AS	$25.65	$25.65	$25.65
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