Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,782.59 / $5,935.00 / $12,464.00	Facility		$1,782.59	$5,935.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $7,200.00 / $39,007.80	Facility		$1,063.95	$7,200.00	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,718.08 / $1,718.08 / $1,718.08	Facility		$1,718.08	$1,718.08	$1,718.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,262.82 / $2,500.00	Facility		$500.00	$1,262.82	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.34 / $125.34 / $125.34	Facility	AS	$125.34	$125.34	$125.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,223.34 / $1,879.52 / $2,919.16	Professional		$1,223.34	$1,879.52	$2,919.16
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.11 / $44.11 / $44.11	Professional	AS	$44.11	$44.11	$44.11
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