Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,944.00 / $5,063.00 / $7,421.00	Facility		$1,944.00	$5,063.00	$7,421.00
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 $1,951.04 / $2,338.88 / $3,181.56	Facility		$1,951.04	$2,338.88	$3,181.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,255.08 / $2,225.00 / $57,200.00	Facility		$1,255.08	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $124.52 / $124.52 / $124.52	Facility	AS	$124.52	$124.52	$124.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,276.90 / $1,876.49 / $3,211.09	Professional		$1,276.90	$1,876.49	$3,211.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.38 / $51.38 / $51.38	Professional	AS	$51.38	$51.38	$51.38
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