Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,104.89 / $4,592.00 / $6,915.00	Facility		$1,104.89	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,454.90 / $1,756.05 / $2,388.75	Facility		$1,454.90	$1,756.05	$2,388.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,427.58 / $2,172.58	Facility		$1,000.00	$1,427.58	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.76 / $142.76 / $142.76	Facility	AS	$142.76	$142.76	$142.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,000.39 / $1,408.89 / $2,594.11	Professional		$1,000.39	$1,408.89	$2,594.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.06 / $33.06 / $41.51	Professional	AS	$33.06	$33.06	$41.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00