Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,933.29 / $5,063.00 / $7,421.00	Facility		$1,933.29	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $4,492.39 / $19,550.45	Facility		$659.95	$4,492.39	$19,550.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,830.74 / $2,830.74 / $2,830.74	Facility		$2,830.74	$2,830.74	$2,830.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,353.00	Facility		$400.00	$703.00	$9,353.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $219.00 / $219.00 / $219.00	Facility	AS	$219.00	$219.00	$219.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,946.86 / $2,530.92 / $8,444.00	Professional		$1,946.86	$2,530.92	$8,444.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $72.93 / $72.93 / $93.09	Professional	AS	$72.93	$72.93	$93.09
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $21,882.00	Facility		$400.00	$2,969.00	$21,882.00