Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,391.00 / $6,915.00	Facility		$1,362.00	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $910.06 / $910.06 / $910.06	Facility		$910.06	$910.06	$910.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $971.99 / $1,875.00 / $72,800.00	Facility		$971.99	$1,875.00	$72,800.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.90 / $96.90 / $96.90	Facility	AS	$96.90	$96.90	$96.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $989.12 / $1,376.16 / $5,462.00	Professional		$989.12	$1,376.16	$5,462.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.79 / $39.79 / $39.79	Professional	AS	$39.79	$39.79	$39.79
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