Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,598.17 / $5,063.00 / $9,488.00	Facility		$1,598.17	$5,063.00	$9,488.00
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 $2,366.89 / $2,366.89 / $2,366.89	Facility		$2,366.89	$2,366.89	$2,366.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,784.89 / $57,200.00	Facility		$500.00	$1,784.89	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $177.02 / $177.02 / $177.02	Facility	AS	$177.02	$177.02	$177.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,814.70 / $2,524.80 / $4,563.52	Professional		$1,814.70	$2,524.80	$4,563.52
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $73.02 / $73.02 / $73.02	Professional	AS	$73.02	$73.02	$73.02
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00