Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,178.54 / $5,063.00 / $7,421.00	Facility		$2,178.54	$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 $2,436.56 / $2,436.56 / $2,436.56	Facility		$2,436.56	$2,436.56	$2,436.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,797.43 / $2,500.00	Facility		$500.00	$1,797.43	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $178.36 / $178.36 / $178.36	Facility	AS	$178.36	$178.36	$178.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,742.84 / $2,677.64 / $4,640.35	Professional		$1,742.84	$2,677.64	$4,640.35
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $62.84 / $62.84 / $62.84	Professional	AS	$62.84	$62.84	$62.84
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