Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,421.00	Facility		$1,374.00	$5,063.00	$7,421.00
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 $1,669.92 / $2,021.87 / $2,750.33	Facility		$1,669.92	$2,021.87	$2,750.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,096.83 / $2,500.00	Facility		$500.00	$1,096.83	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.83 / $1,440.08 / $2,379.29	Professional		$1,055.83	$1,440.08	$2,379.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.07 / $38.07 / $38.07	Professional	AS	$38.07	$38.07	$38.07
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