Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,084.89 / $4,841.00 / $6,915.00	Facility		$1,084.89	$4,841.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,176.10 / $1,176.10 / $1,176.10	Facility		$1,176.10	$1,176.10	$1,176.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $869.79 / $869.79 / $2,172.58	Facility		$869.79	$869.79	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.98 / $86.98 / $86.98	Facility	AS	$86.98	$86.98	$86.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.51 / $1,171.00 / $1,876.05	Professional		$832.51	$1,171.00	$1,876.05
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.02 / $30.02 / $30.02	Professional	AS	$30.02	$30.02	$30.02
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