Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $5,063.00 / $6,915.00	Facility		$1,458.00	$5,063.00	$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 $1,740.27 / $2,092.46 / $2,846.37	Facility		$1,740.27	$2,092.46	$2,846.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,130.08 / $2,500.00	Facility		$500.00	$1,130.08	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.33 / $112.33 / $112.33	Facility	AS	$112.33	$112.33	$112.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,092.71 / $1,561.46 / $3,831.34	Professional		$1,092.71	$1,561.46	$3,831.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.40 / $39.40 / $39.40	Professional	AS	$39.40	$39.40	$39.40
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