Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $798.27 / $4,908.00 / $7,383.04	Facility		$798.27	$4,908.00	$7,383.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $790.42 / $790.42 / $790.42	Facility		$790.42	$790.42	$790.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.77 / $568.77 / $2,172.58	Facility		$568.77	$568.77	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.45 / $56.45 / $56.45	Facility	AS	$56.45	$56.45	$56.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.41 / $824.49 / $1,235.84	Professional		$548.41	$824.49	$1,235.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.77 / $19.77 / $19.77	Professional	AS	$19.77	$19.77	$19.77
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