Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.00 / $5,063.00 / $6,915.00	Facility		$1,352.00	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.57 / $4,431.64 / $21,657.35	Facility		$1,184.57	$4,431.64	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,636.58 / $1,964.93 / $2,672.88	Facility		$1,636.58	$1,964.93	$2,672.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,062.48 / $2,500.00	Facility		$500.00	$1,062.48	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.51 / $105.51 / $105.51	Facility	AS	$105.51	$105.51	$105.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,026.09 / $1,473.24 / $2,328.32	Professional		$1,026.09	$1,473.24	$2,328.32
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.00 / $37.00 / $37.00	Professional	AS	$37.00	$37.00	$37.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00