Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,322.87 / $5,063.00 / $6,915.00	Facility		$2,322.87	$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 $3,468.87 / $3,468.87 / $3,468.87	Facility		$3,468.87	$3,468.87	$3,468.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,500.00 / $2,606.76	Facility		$500.00	$2,500.00	$2,606.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $257.88 / $257.88 / $257.88	Facility	AS	$257.88	$257.88	$257.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,650.06 / $3,687.04 / $8,175.71	Professional		$2,650.06	$3,687.04	$8,175.71
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $106.63 / $106.63 / $106.63	Professional	AS	$106.63	$106.63	$106.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,332.00 / $8,133.00	Facility		$1,162.00	$3,332.00	$8,133.00