Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,073.89 / $5,045.00 / $6,915.00	Facility		$1,073.89	$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 $1,264.47 / $1,523.82 / $2,072.84	Facility		$1,264.47	$1,523.82	$2,072.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $823.57 / $2,500.00	Facility		$500.00	$823.57	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $81.56 / $81.56 / $81.56	Facility	AS	$81.56	$81.56	$81.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $795.75 / $1,120.95 / $1,793.23	Professional		$795.75	$1,120.95	$1,793.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.69 / $28.69 / $28.69	Professional	AS	$28.69	$28.69	$28.69
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