Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,331.79 / $5,045.00 / $6,915.00	Facility		$1,331.79	$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 $1,777.79 / $2,139.44 / $2,910.29	Facility		$1,777.79	$2,139.44	$2,910.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,155.76 / $2,500.00	Facility		$500.00	$1,155.76	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $114.90 / $114.90 / $114.90	Facility	AS	$114.90	$114.90	$114.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,117.24 / $1,591.69 / $2,517.69	Professional		$1,117.24	$1,591.69	$2,517.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $40.28 / $40.28 / $40.28	Professional	AS	$40.28	$40.28	$40.28
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00