Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,041.16 / $5,045.00 / $6,915.00	Facility		$1,041.16	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,528.50 / $1,528.50 / $1,528.50	Facility		$1,528.50	$1,528.50	$1,528.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,193.57	Facility		$200.00	$617.00	$1,193.57
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.29 / $117.29 / $117.29	Facility	AS	$117.29	$117.29	$117.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,039.78 / $1,351.71 / $2,434.25	Professional		$1,039.78	$1,351.71	$2,434.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.95 / $38.95 / $49.72	Professional	AS	$38.95	$38.95	$49.72
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00