Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,266.21 / $5,063.00 / $11,445.00	Facility		$1,266.21	$5,063.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $21,112.96	Facility		$1,082.02	$3,763.81	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,410.27 / $1,703.00 / $2,316.57	Facility		$1,410.27	$1,703.00	$2,316.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $920.67 / $920.67 / $2,172.58	Facility		$920.67	$920.67	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.49 / $91.49 / $91.49	Facility	AS	$91.49	$91.49	$91.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $889.32 / $1,267.90 / $2,004.06	Professional		$889.32	$1,267.90	$2,004.06
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.06 / $32.06 / $32.06	Professional	AS	$32.06	$32.06	$32.06
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