Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,332.35 / $4,908.00 / $7,068.00	Facility		$1,332.35	$4,908.00	$7,068.00
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 $1,345.35 / $1,622.55 / $2,270.69	Facility		$1,345.35	$1,622.55	$2,270.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $877.51 / $877.51 / $6,691.34	Facility		$877.51	$877.51	$6,691.34
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.09 / $87.09 / $87.09	Facility	AS	$87.09	$87.09	$87.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $847.31 / $1,301.77 / $1,909.38	Professional		$847.31	$1,301.77	$1,909.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.55 / $30.55 / $30.55	Professional	AS	$30.55	$30.55	$30.55
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