Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $847.11 / $4,829.00 / $6,915.00	Facility		$847.11	$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 $1,058.91 / $1,058.91 / $1,058.91	Facility		$1,058.91	$1,058.91	$1,058.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.88 / $569.88 / $2,172.58	Facility		$569.88	$569.88	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.52 / $56.52 / $56.52	Facility	AS	$56.52	$56.52	$56.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $828.50 / $1,238.34	Professional		$549.54	$828.50	$1,238.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.80 / $19.80 / $19.80	Professional	AS	$19.80	$19.80	$19.80
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