Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.69 / $5,063.00 / $7,115.58	Facility		$1,047.69	$5,063.00	$7,115.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,136.86 / $1,136.86 / $1,136.86	Facility		$1,136.86	$1,136.86	$1,136.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $832.88 / $832.88 / $4,830.16	Facility		$832.88	$832.88	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.29 / $83.29 / $83.29	Facility	AS	$83.29	$83.29	$83.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $797.78 / $1,136.00 / $1,797.79	Professional		$797.78	$1,136.00	$1,797.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.76 / $28.76 / $28.76	Professional	AS	$28.76	$28.76	$28.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,836.00	Facility		$1,800.00	$6,206.00	$8,836.00