Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,060.76 / $5,063.00 / $6,915.00	Facility		$1,060.76	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,204.94 / $1,455.50 / $1,979.91	Facility		$1,204.94	$1,455.50	$1,979.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $786.75 / $2,500.00	Facility		$500.00	$786.75	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $78.14 / $78.14 / $78.14	Facility	AS	$78.14	$78.14	$78.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $760.08 / $1,075.68 / $2,472.73	Professional		$760.08	$1,075.68	$2,472.73
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.40 / $27.40 / $27.40	Professional	AS	$27.40	$27.40	$27.40
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