Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,063.00 / $7,421.00	Facility		$2,300.00	$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 $2,582.11 / $2,582.11 / $2,582.11	Facility		$2,582.11	$2,582.11	$2,582.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,963.31 / $57,200.00	Facility		$500.00	$1,963.31	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.61 / $194.61 / $194.61	Facility	AS	$194.61	$194.61	$194.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,993.54 / $2,773.62 / $5,013.25	Professional		$1,993.54	$2,773.62	$5,013.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $80.20 / $80.20 / $80.20	Professional	AS	$80.20	$80.20	$80.20
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00