Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,631.00	Facility		$1,374.00	$5,063.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,044.74 / $1,044.74 / $1,044.74	Facility		$1,044.74	$1,044.74	$1,044.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,207.14 / $2,225.00	Facility		$500.00	$1,207.14	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.75 / $119.75 / $119.75	Facility	AS	$119.75	$119.75	$119.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,058.92 / $1,164.81 / $12,060.00	Professional		$1,058.92	$1,164.81	$12,060.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.63 / $29.63 / $29.63	Professional	AS	$29.63	$29.63	$29.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00