Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,109.44 / $5,063.00 / $7,068.00	Facility		$2,109.44	$5,063.00	$7,068.00
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 $2,860.44 / $3,969.26 / $5,820.42	Facility		$2,860.44	$3,969.26	$5,820.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,322.32 / $2,500.00	Facility		$500.00	$2,322.32	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $229.28 / $229.28 / $229.28	Facility	AS	$229.28	$229.28	$229.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,234.42 / $3,079.08 / $7,580.78	Professional		$2,234.42	$3,079.08	$7,580.78
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $121.29 / $121.29 / $121.29	Professional	AS	$121.29	$121.29	$121.29
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