Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.51 / $5,045.00 / $6,915.00	Facility		$959.51	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $4,363.80 / $9,836.54	Facility		$1,282.27	$4,363.80	$9,836.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,355.92 / $1,355.92 / $1,355.92	Facility		$1,355.92	$1,355.92	$1,355.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,079.51 / $2,500.00	Facility		$500.00	$1,079.51	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $106.59 / $106.59 / $106.59	Facility	AS	$106.59	$106.59	$106.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,098.86 / $1,574.94 / $2,763.40	Professional		$1,098.86	$1,574.94	$2,763.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.21 / $44.21 / $44.21	Professional	AS	$44.21	$44.21	$44.21
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00