Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.25 / $5,175.00 / $9,008.00	Facility		$2,051.25	$5,175.00	$9,008.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,283.16 / $2,283.16 / $2,283.16	Facility		$2,283.16	$2,283.16	$2,283.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,745.28 / $57,200.00	Facility		$500.00	$1,745.28	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $172.99 / $172.99 / $172.99	Facility	AS	$172.99	$172.99	$172.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.05 / $2,462.67 / $4,451.21	Professional		$1,770.05	$2,462.67	$4,451.21
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $71.22 / $71.22 / $71.22	Professional	AS	$71.22	$71.22	$71.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00