Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $953.12 / $5,045.00 / $7,068.00	Facility		$953.12	$5,045.00	$7,068.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,140.78 / $3,272.95 / $6,339.18	Facility		$1,140.78	$3,272.95	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $940.10 / $1,105.98 / $1,545.48	Facility		$940.10	$1,105.98	$1,545.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $614.15 / $614.15 / $2,225.00	Facility		$614.15	$614.15	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	AS	$60.88	$60.88	$60.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $593.29 / $905.01 / $3,269.00	Professional		$593.29	$905.01	$3,269.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.39 / $21.39 / $21.39	Professional	AS	$21.39	$21.39	$21.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00