Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,058.85 / $3,391.00 / $6,915.00	Facility		$1,058.85	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,259.66 / $1,547.70 / $2,105.34	Facility		$1,259.66	$1,547.70	$2,105.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $842.95 / $2,172.58	Facility		$640.00	$842.95	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $808.23 / $1,151.00 / $1,821.32	Professional		$808.23	$1,151.00	$1,821.32
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.14 / $29.14 / $29.14	Professional	AS	$29.14	$29.14	$29.14
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