Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,411.94 / $4,829.00 / $6,915.00	Facility		$1,411.94	$4,829.00	$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 $1,372.03 / $1,372.03 / $1,372.03	Facility		$1,372.03	$1,372.03	$1,372.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,051.52	Facility		$200.00	$617.00	$1,051.52
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.94 / $102.94 / $102.94	Facility	AS	$102.94	$102.94	$102.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $915.96 / $1,190.75 / $2,144.37	Professional		$915.96	$1,190.75	$2,144.37
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.31 / $34.31 / $43.80	Professional	AS	$34.31	$34.31	$43.80
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00