Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,085.67 / $4,829.00 / $6,915.00	Facility		$1,085.67	$4,829.00	$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 $1,203.58 / $1,454.06 / $1,977.93	Facility		$1,203.58	$1,454.06	$1,977.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $786.00 / $786.00 / $2,172.58	Facility		$786.00	$786.00	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.95 / $77.95 / $77.95	Facility	AS	$77.95	$77.95	$77.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.32 / $1,074.06 / $2,106.40	Professional		$759.32	$1,074.06	$2,106.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.38 / $27.38 / $27.38	Professional	AS	$27.38	$27.38	$27.38
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