Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.61 / $5,063.00 / $9,512.00	Facility		$867.61	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $3,616.62 / $6,315.83	Facility		$1,350.00	$3,616.62	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,312.82 / $1,312.82 / $1,312.82	Facility		$1,312.82	$1,312.82	$1,312.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $946.59 / $946.59 / $2,807.87	Facility		$946.59	$946.59	$2,807.87
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.66 / $94.66 / $94.66	Facility	AS	$94.66	$94.66	$94.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $909.28 / $1,313.00 / $2,049.05	Professional		$909.28	$1,313.00	$2,049.05
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.78 / $32.78 / $32.78	Professional	AS	$32.78	$32.78	$32.78
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