Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,362.00 / $3,391.00 / $6,915.00	Facility		$1,362.00	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $21,232.89	Facility		$2,329.46	$7,591.82	$21,232.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $947.66 / $947.66 / $947.66	Facility		$947.66	$947.66	$947.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,013.29 / $1,875.00 / $72,800.00	Facility		$1,013.29	$1,875.00	$72,800.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $100.85 / $100.85 / $100.85	Facility	AS	$100.85	$100.85	$100.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,031.52 / $1,435.15 / $6,238.00	Professional		$1,031.52	$1,435.15	$6,238.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.50 / $41.50 / $41.50	Professional	AS	$41.50	$41.50	$41.50
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