Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,281.57 / $1,542.57 / $2,098.35	Facility		$1,281.57	$1,542.57	$2,098.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $846.52 / $846.52 / $6,555.48	Facility		$846.52	$846.52	$6,555.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $805.54 / $1,189.35 / $2,097.54	Professional		$805.54	$1,189.35	$2,097.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.04 / $29.04 / $29.04	Professional	AS	$29.04	$29.04	$29.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00