Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,380.21 / $5,045.00 / $7,068.00	Facility		$1,380.21	$5,045.00	$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 $1,403.01 / $1,690.49 / $2,383.77	Facility		$1,403.01	$1,690.49	$2,383.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $913.96 / $913.96 / $6,492.55	Facility		$913.96	$913.96	$6,492.55
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.78 / $90.78 / $90.78	Facility	AS	$90.78	$90.78	$90.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.78 / $1,356.28 / $2,303.19	Professional		$882.78	$1,356.28	$2,303.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.83 / $31.83 / $31.83	Professional	AS	$31.83	$31.83	$31.83
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