Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $816.80 / $5,045.00 / $6,915.00	Facility		$816.80	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $4,431.64 / $21,657.35	Facility		$1,082.02	$4,431.64	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $819.25 / $819.25 / $819.25	Facility		$819.25	$819.25	$819.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $569.33 / $2,500.00	Facility		$500.00	$569.33	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $56.52	Facility	AS	$56.52	$56.52	$56.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.33 / $793.90 / $1,716.18	Professional		$549.33	$793.90	$1,716.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.80 / $19.80 / $19.80	Professional	AS	$19.80	$19.80	$19.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00