Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,141.44 / $4,733.00 / $6,915.00	Facility		$1,141.44	$4,733.00	$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 $1,661.96 / $1,661.96 / $1,661.96	Facility		$1,661.96	$1,661.96	$1,661.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,271.82 / $2,500.00	Facility		$500.00	$1,271.82	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $126.39 / $126.39 / $126.39	Facility	AS	$126.39	$126.39	$126.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,291.29 / $1,883.51 / $3,907.41	Professional		$1,291.29	$1,883.51	$3,907.41
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.96 / $51.96 / $51.96	Professional	AS	$51.96	$51.96	$51.96
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