Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,674.05 / $5,045.00 / $6,915.00	Facility		$1,674.05	$5,045.00	$6,915.00
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 $1,858.55 / $1,858.55 / $1,858.55	Facility		$1,858.55	$1,858.55	$1,858.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,446.52 / $57,200.00	Facility		$500.00	$1,446.52	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $143.87 / $143.87 / $143.87	Facility	AS	$143.87	$143.87	$143.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,475.37 / $2,052.69 / $4,714.33	Professional		$1,475.37	$2,052.69	$4,714.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $59.36 / $59.36 / $59.36	Professional	AS	$59.36	$59.36	$59.36
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