Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,022.37 / $5,045.00 / $8,331.00	Facility		$2,022.37	$5,045.00	$8,331.00
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 $2,985.71 / $2,985.71 / $2,985.71	Facility		$2,985.71	$2,985.71	$2,985.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,269.32 / $57,200.00	Facility		$500.00	$2,269.32	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $225.03 / $225.03 / $225.03	Facility	AS	$225.03	$225.03	$225.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,311.87 / $3,216.51 / $5,813.76	Professional		$2,311.87	$3,216.51	$5,813.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $93.02 / $93.02 / $93.02	Professional	AS	$93.02	$93.02	$93.02
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