Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,115.38 / $5,045.00 / $6,915.00	Facility		$2,115.38	$5,045.00	$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 $3,114.65 / $3,114.65 / $3,114.65	Facility		$3,114.65	$3,114.65	$3,114.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,375.41 / $57,200.00	Facility		$500.00	$2,375.41	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $235.29 / $235.29 / $235.29	Facility	AS	$235.29	$235.29	$235.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,416.81 / $3,362.51 / $6,077.67	Professional		$2,416.81	$3,362.51	$6,077.67
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $97.24 / $97.24 / $97.24	Professional	AS	$97.24	$97.24	$97.24
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