Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,290.25 / $5,063.00 / $7,631.00	Facility		$1,290.25	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,431.18 / $1,726.28 / $2,348.23	Facility		$1,431.18	$1,726.28	$2,348.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $932.94 / $932.94 / $2,172.58	Facility		$932.94	$932.94	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.31 / $92.31 / $92.31	Facility	AS	$92.31	$92.31	$92.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $901.47 / $1,279.09 / $2,031.45	Professional		$901.47	$1,279.09	$2,031.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.50 / $32.50 / $32.50	Professional	AS	$32.50	$32.50	$32.50
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