Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,153.59 / $5,045.00 / $6,915.00	Facility		$1,153.59	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,124.13 / $1,124.13 / $1,124.13	Facility		$1,124.13	$1,124.13	$1,124.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $767.20 / $2,500.00	Facility		$500.00	$767.20	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.27 / $75.27 / $75.27	Facility	AS	$75.27	$75.27	$75.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $733.84 / $1,077.40 / $1,653.70	Professional		$733.84	$1,077.40	$1,653.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.46 / $26.46 / $26.46	Professional	AS	$26.46	$26.46	$26.46
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