Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.45 / $3,460.00 / $6,915.00	Facility		$1,145.45	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $4,412.76 / $8,702.00	Facility		$1,376.26	$4,412.76	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,080.14 / $1,080.14 / $1,080.14	Facility		$1,080.14	$1,080.14	$1,080.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.78 / $1,350.00 / $6,095.73	Facility		$860.78	$1,350.00	$6,095.73
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.67 / $85.67 / $85.67	Facility	AS	$85.67	$85.67	$85.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $868.14 / $1,094.60 / $1,946.14	Professional		$868.14	$1,094.60	$1,946.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.93 / $34.93 / $34.93	Professional	AS	$34.93	$34.93	$34.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,766.00 / $14,048.00	Facility		$1,738.00	$7,766.00	$14,048.00