Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,354.33 / $5,063.00 / $7,391.00	Facility		$1,354.33	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,478.58 / $1,783.08 / $2,425.52	Facility		$1,478.58	$1,783.08	$2,425.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $964.18 / $964.18 / $2,753.69	Facility		$964.18	$964.18	$2,753.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.70 / $95.70 / $95.70	Facility	AS	$95.70	$95.70	$95.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $931.14 / $1,426.52 / $2,202.44	Professional		$931.14	$1,426.52	$2,202.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.57 / $33.57 / $33.57	Professional	AS	$33.57	$33.57	$33.57
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