Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,228.06 / $4,592.00 / $6,915.00	Facility		$1,228.06	$4,592.00	$6,915.00
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 $1,634.22 / $1,970.13 / $2,679.96	Facility		$1,634.22	$1,970.13	$2,679.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,064.61 / $2,500.00	Facility		$500.00	$1,064.61	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,028.82 / $1,435.05 / $2,318.42	Professional		$1,028.82	$1,435.05	$2,318.42
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.09 / $37.09 / $37.09	Professional	AS	$37.09	$37.09	$37.09
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