Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.81 / $3,391.00 / $6,915.00	Facility		$790.81	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.76 / $1,026.76 / $1,026.76	Facility		$1,026.76	$1,026.76	$1,026.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $767.96 / $1,875.00 / $72,800.00	Facility		$767.96	$1,875.00	$72,800.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.80 / $76.80 / $76.80	Facility	AS	$76.80	$76.80	$76.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $532.14 / $1,036.45 / $5,249.00	Professional		$532.14	$1,036.45	$5,249.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.52 / $20.52 / $39.92	Professional	AS	$20.52	$20.52	$39.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,193.00 / $18,613.00	Facility		$3,293.00	$9,193.00	$18,613.00