Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,376.92 / $5,063.00 / $6,915.00	Facility		$2,376.92	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,472.93 / $3,472.93 / $3,472.93	Facility		$3,472.93	$3,472.93	$3,472.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,655.18	Facility		$500.00	$2,500.00	$2,655.18
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $262.88 / $262.88 / $262.88	Facility	AS	$262.88	$262.88	$262.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,681.19 / $3,730.35 / $8,175.71	Professional		$2,681.19	$3,730.35	$8,175.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $107.88 / $107.88 / $107.88	Professional	AS	$107.88	$107.88	$107.88
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00