Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.22 / $4,852.00 / $7,767.00	Facility		$895.22	$4,852.00	$7,767.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,123.57 / $6,315.83	Facility		$1,185.65	$3,123.57	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,026.66 / $1,245.54 / $1,694.31	Facility		$1,026.66	$1,245.54	$1,694.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $674.04 / $674.04 / $2,172.58	Facility		$674.04	$674.04	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.11 / $67.11 / $67.11	Facility	AS	$67.11	$67.11	$67.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $650.44 / $917.92 / $1,465.74	Professional		$650.44	$917.92	$1,465.74
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.45 / $23.45 / $23.45	Professional	AS	$23.45	$23.45	$23.45
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