Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,137.43 / $3,214.00 / $6,915.00	Facility		$1,137.43	$3,214.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.60 / $720.60 / $720.60	Facility		$720.60	$720.60	$720.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $988.00 / $1,765.90	Facility		$512.00	$988.00	$1,765.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.31 / $69.31 / $69.31	Facility	AS	$69.31	$69.31	$69.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $610.70 / $793.91 / $1,904.00	Professional		$610.70	$793.91	$1,904.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.88 / $22.88 / $29.20	Professional	AS	$22.88	$22.88	$29.20
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00