Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.13 / $4,592.00 / $6,915.00	Facility		$1,373.13	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,546.50 / $1,855.14 / $2,523.53	Facility		$1,546.50	$1,855.14	$2,523.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,006.12 / $2,225.00	Facility		$500.00	$1,006.12	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.84 / $99.84 / $99.84	Facility	AS	$99.84	$99.84	$99.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.76 / $1,409.10 / $4,957.00	Professional		$968.76	$1,409.10	$4,957.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.93 / $34.93 / $34.93	Professional	AS	$34.93	$34.93	$34.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00