Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $5,045.00 / $6,915.00	Facility		$886.00	$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 $883.28 / $883.28 / $883.28	Facility		$883.28	$883.28	$883.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $625.29 / $2,500.00	Facility		$500.00	$625.29	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.19 / $62.19 / $62.19	Facility	AS	$62.19	$62.19	$62.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $605.54 / $849.47 / $1,479.58	Professional		$605.54	$849.47	$1,479.58
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.83 / $21.83 / $21.83	Professional	AS	$21.83	$21.83	$21.83
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