Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,035.78 / $5,063.00 / $6,915.00	Facility		$1,035.78	$5,063.00	$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 $1,145.22 / $1,384.77 / $1,883.70	Facility		$1,145.22	$1,384.77	$1,883.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $748.81 / $748.81 / $4,830.16	Facility		$748.81	$748.81	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $74.42 / $74.42 / $74.42	Facility	AS	$74.42	$74.42	$74.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $723.14 / $1,022.68 / $1,770.77	Professional		$723.14	$1,022.68	$1,770.77
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.07 / $26.07 / $26.07	Professional	AS	$26.07	$26.07	$26.07
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