Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,434.35 / $6,014.00 / $12,464.00	Facility		$2,434.35	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $15,318.85 / $55,752.34	Facility		$1,282.27	$15,318.85	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,566.98 / $2,566.98 / $2,566.98	Facility		$2,566.98	$2,566.98	$2,566.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,920.98 / $5,845.00 / $9,852.00	Facility		$1,920.98	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $190.33 / $190.33 / $190.33	Facility	AS	$190.33	$190.33	$190.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,858.35 / $2,853.76 / $4,671.60	Professional		$1,858.35	$2,853.76	$4,671.60
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $67.00 / $67.00 / $67.00	Professional	AS	$67.00	$67.00	$67.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $25,511.00	Facility		$2,303.00	$10,133.00	$25,511.00