Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,215.09 / $5,063.00 / $7,421.00	Facility		$2,215.09	$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 $2,462.57 / $2,462.57 / $2,462.57	Facility		$2,462.57	$2,462.57	$2,462.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,848.40 / $2,500.00	Facility		$500.00	$1,848.40	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $182.94 / $182.94 / $182.94	Facility	AS	$182.94	$182.94	$182.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,797.80 / $2,730.12 / $4,721.64	Professional		$1,797.80	$2,730.12	$4,721.64
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.81 / $64.81 / $64.81	Professional	AS	$64.81	$64.81	$64.81
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