Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,338.26 / $5,063.00 / $7,421.00	Facility		$2,338.26	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,727.97 / $2,727.97 / $2,727.97	Facility		$2,727.97	$2,727.97	$2,727.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,036.65 / $2,500.00	Facility		$500.00	$2,036.65	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.26 / $202.26 / $202.26	Facility	AS	$202.26	$202.26	$202.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,972.07 / $3,029.82 / $4,712.47	Professional		$1,972.07	$3,029.82	$4,712.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $71.09 / $71.09 / $71.09	Professional	AS	$71.09	$71.09	$71.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00