Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $867.11 / $4,592.00 / $6,915.00	Facility		$867.11	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $821.45 / $821.45 / $821.45	Facility		$821.45	$821.45	$821.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $4,830.16	Facility		$650.60	$650.60	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.05 / $64.05 / $64.05	Facility	AS	$64.05	$64.05	$64.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $629.15 / $875.10 / $1,417.76	Professional		$629.15	$875.10	$1,417.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.68 / $22.68 / $22.68	Professional	AS	$22.68	$22.68	$22.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00