Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $715.96 / $4,829.00 / $6,915.00	Facility		$715.96	$4,829.00	$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 $755.31 / $918.27 / $1,249.10	Facility		$755.31	$918.27	$1,249.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $497.34 / $497.34 / $2,172.58	Facility		$497.34	$497.34	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $49.32 / $49.32 / $49.32	Facility	AS	$49.32	$49.32	$49.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $479.52 / $724.07 / $1,080.58	Professional		$479.52	$724.07	$1,080.58
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.29 / $17.29 / $17.29	Professional	AS	$17.29	$17.29	$17.29
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