Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.50 / $5,063.00 / $7,743.68	Facility		$1,925.50	$5,063.00	$7,743.68
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 $2,191.29 / $2,620.08 / $3,564.08	Facility		$2,191.29	$2,620.08	$3,564.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,422.64 / $2,500.00	Facility		$500.00	$1,422.64	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $140.69 / $140.69 / $140.69	Facility	AS	$140.69	$140.69	$140.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,368.22 / $1,992.23 / $3,083.26	Professional		$1,368.22	$1,992.23	$3,083.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $49.33 / $49.33 / $49.33	Professional	AS	$49.33	$49.33	$49.33
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