Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $3,826.00 / $6,915.00	Facility		$656.25	$3,826.00	$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 $981.86 / $981.86 / $981.86	Facility		$981.86	$981.86	$981.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $699.71 / $699.71 / $4,830.16	Facility		$699.71	$699.71	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.76 / $69.76 / $69.76	Facility	AS	$69.76	$69.76	$69.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.31 / $978.80 / $1,521.81	Professional		$675.31	$978.80	$1,521.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.35 / $24.35 / $24.35	Professional	AS	$24.35	$24.35	$24.35
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