Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,833.17 / $4,733.00 / $6,915.00	Facility		$1,833.17	$4,733.00	$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 $2,689.14 / $2,689.14 / $2,689.14	Facility		$2,689.14	$2,689.14	$2,689.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,047.60 / $57,200.00	Facility		$500.00	$2,047.60	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.96 / $202.96 / $202.96	Facility	AS	$202.96	$202.96	$202.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,077.60 / $2,890.58 / $5,224.66	Professional		$2,077.60	$2,890.58	$5,224.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $83.59 / $83.59 / $83.59	Professional	AS	$83.59	$83.59	$83.59
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