Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.64 / $5,063.00 / $7,421.00	Facility		$1,642.64	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,925.24 / $2,310.98 / $3,143.63	Facility		$1,925.24	$2,310.98	$3,143.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,250.74 / $2,500.00	Facility		$500.00	$1,250.74	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $124.19 / $124.19 / $124.19	Facility	AS	$124.19	$124.19	$124.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,206.82 / $1,734.06 / $3,149.31	Professional		$1,206.82	$1,734.06	$3,149.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.51 / $43.51 / $43.51	Professional	AS	$43.51	$43.51	$43.51
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