Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,022.69 / $5,045.00 / $6,915.00	Facility		$1,022.69	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,242.18 / $1,499.25 / $2,039.43	Facility		$1,242.18	$1,499.25	$2,039.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $812.42 / $812.42 / $2,500.00	Facility		$812.42	$812.42	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.87 / $80.87 / $80.87	Facility	AS	$80.87	$80.87	$80.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $782.93 / $1,154.63 / $1,764.30	Professional		$782.93	$1,154.63	$1,764.30
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.23 / $28.23 / $28.23	Professional	AS	$28.23	$28.23	$28.23
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