Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,691.95 / $5,595.00 / $9,488.00	Facility		$1,691.95	$5,595.00	$9,488.00
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 $1,688.21 / $2,021.25 / $3,050.12	Facility		$1,688.21	$2,021.25	$3,050.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,094.72 / $2,500.00	Facility		$500.00	$1,094.72	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $108.42 / $108.42 / $108.42	Facility	AS	$108.42	$108.42	$108.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,055.52 / $1,535.30 / $3,131.04	Professional		$1,055.52	$1,535.30	$3,131.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.06 / $38.06 / $38.06	Professional	AS	$38.06	$38.06	$38.06
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