Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,804.99 / $6,014.00 / $12,464.00	Facility		$1,804.99	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $8,102.00 / $55,752.34	Facility		$1,282.27	$8,102.00	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,105.83 / $2,105.83 / $2,105.83	Facility		$2,105.83	$2,105.83	$2,105.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,554.13 / $2,500.00	Facility		$500.00	$1,554.13	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $154.35 / $154.35 / $154.35	Facility	AS	$154.35	$154.35	$154.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,508.65 / $2,308.67 / $4,244.47	Professional		$1,508.65	$2,308.67	$4,244.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $54.40 / $54.40 / $54.40	Professional	AS	$54.40	$54.40	$54.40
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00