Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,873.90 / $5,923.48 / $9,548.00	Facility		$2,873.90	$5,923.48	$9,548.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $21,232.89	Facility		$2,329.46	$7,591.82	$21,232.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,562.17 / $2,562.17 / $2,562.17	Facility		$2,562.17	$2,562.17	$2,562.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,849.74 / $1,849.74 / $19,268.25	Facility		$1,849.74	$1,849.74	$19,268.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $183.13 / $183.13 / $183.13	Facility	AS	$183.13	$183.13	$183.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,788.25 / $2,747.40 / $11,215.00	Professional		$1,788.25	$2,747.40	$11,215.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.48 / $64.48 / $64.48	Professional	AS	$64.48	$64.48	$64.48
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $9,062.00 / $18,613.00	Facility		$3,500.00	$9,062.00	$18,613.00