Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,063.00 / $7,647.00	Facility		$1,202.00	$5,063.00	$7,647.00
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 $1,302.71 / $1,565.07 / $2,128.94	Facility		$1,302.71	$1,565.07	$2,128.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $845.76 / $2,500.00	Facility		$500.00	$845.76	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.03 / $84.03 / $84.03	Facility	AS	$84.03	$84.03	$84.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $817.29 / $1,176.00 / $1,841.76	Professional		$817.29	$1,176.00	$1,841.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.47 / $29.47 / $29.47	Professional	AS	$29.47	$29.47	$29.47
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