Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,132.69 / $5,690.00 / $12,390.00	Facility		$1,132.69	$5,690.00	$12,390.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,851.83 / $9,156.52	Facility		$814.00	$3,851.83	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $926.79 / $926.79 / $926.79	Facility		$926.79	$926.79	$926.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $833.00 / $9,852.00	Facility		$400.00	$833.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.77 / $71.77 / $71.77	Facility	AS	$71.77	$71.77	$71.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.51 / $827.46 / $1,490.14	Professional		$636.51	$827.46	$1,490.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.84 / $23.84 / $30.43	Professional	AS	$23.84	$23.84	$30.43
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00