Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,534.43 / $4,353.00 / $6,915.00	Facility		$1,534.43	$4,353.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $994.23 / $994.23 / $994.23	Facility		$994.23	$994.23	$994.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,532.43 / $2,140.80	Facility		$512.00	$1,532.43	$2,140.80
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.27 / $92.27 / $92.27	Facility	AS	$92.27	$92.27	$92.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $812.25 / $1,055.93 / $4,008.00	Professional		$812.25	$1,055.93	$4,008.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.42 / $30.42 / $38.84	Professional	AS	$30.42	$30.42	$38.84
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00