Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $855.79 / $5,045.00 / $6,915.00	Facility		$855.79	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $848.59 / $848.59 / $848.59	Facility		$848.59	$848.59	$848.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $620.10 / $2,500.00	Facility		$500.00	$620.10	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.67 / $61.67 / $61.67	Facility	AS	$61.67	$61.67	$61.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $599.97 / $850.14 / $2,114.03	Professional		$599.97	$850.14	$2,114.03
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.63 / $21.63 / $21.63	Professional	AS	$21.63	$21.63	$21.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00