Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,142.83 / $4,733.00 / $6,915.00	Facility		$2,142.83	$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 $3,168.01 / $3,168.01 / $3,168.01	Facility		$3,168.01	$3,168.01	$3,168.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,408.56 / $57,200.00	Facility		$500.00	$2,408.56	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $238.75 / $238.75 / $238.75	Facility	AS	$238.75	$238.75	$238.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,443.53 / $3,399.70 / $6,144.89	Professional		$2,443.53	$3,399.70	$6,144.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $98.32 / $98.32 / $98.32	Professional	AS	$98.32	$98.32	$98.32
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