Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.34 / $4,368.00 / $6,915.00	Facility		$1,327.34	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $989.09 / $3,392.46 / $8,545.91	Facility		$989.09	$3,392.46	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,490.65 / $1,490.65 / $1,490.65	Facility		$1,490.65	$1,490.65	$1,490.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,133.30 / $4,250.64	Facility		$860.00	$1,133.30	$4,250.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.26 / $112.26 / $112.26	Facility	AS	$112.26	$112.26	$112.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.08 / $1,631.53 / $2,849.44	Professional		$1,133.08	$1,631.53	$2,849.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.59 / $45.59 / $45.59	Professional	AS	$45.59	$45.59	$45.59
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,766.00 / $11,889.00	Facility		$2,845.00	$7,766.00	$11,889.00