Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $794.16 / $5,063.00 / $6,915.00	Facility		$794.16	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $894.57 / $894.57 / $894.57	Facility		$894.57	$894.57	$894.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $665.85 / $665.85 / $2,172.58	Facility		$665.85	$665.85	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $66.06 / $66.06 / $66.06	Facility	AS	$66.06	$66.06	$66.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $642.47 / $976.57 / $1,447.79	Professional		$642.47	$976.57	$1,447.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.16 / $23.16 / $23.16	Professional	AS	$23.16	$23.16	$23.16
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