Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,045.57 / $3,391.00 / $15,301.00	Facility		$1,045.57	$3,391.00	$15,301.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $762.43 / $5,634.28 / $21,112.96	Facility		$762.43	$5,634.28	$21,112.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.04 / $1,265.93 / $1,780.28	Facility		$1,076.04	$1,265.93	$1,780.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $708.63 / $4,830.16	Facility		$640.00	$708.63	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $70.80 / $70.80 / $70.80	Facility	AS	$70.80	$70.80	$70.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.43 / $931.95 / $1,540.11	Professional		$683.43	$931.95	$1,540.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.64 / $24.64 / $24.64	Professional	AS	$24.64	$24.64	$24.64
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