Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $923.04 / $5,045.00 / $6,915.00	Facility		$923.04	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,024.52 / $1,239.93 / $1,686.68	Facility		$1,024.52	$1,239.93	$1,686.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $670.69 / $670.69 / $4,830.16	Facility		$670.69	$670.69	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.66 / $66.66 / $66.66	Facility	AS	$66.66	$66.66	$66.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.50 / $913.30 / $1,678.04	Professional		$647.50	$913.30	$1,678.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.35 / $23.35 / $23.35	Professional	AS	$23.35	$23.35	$23.35
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