Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $957.24 / $4,592.00 / $6,915.00	Facility		$957.24	$4,592.00	$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 $1,174.83 / $1,174.83 / $1,174.83	Facility		$1,174.83	$1,174.83	$1,174.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $650.60 / $650.60 / $2,172.58	Facility		$650.60	$650.60	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.56 / $64.56 / $64.56	Facility	AS	$64.56	$64.56	$64.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $627.72 / $953.57 / $1,414.55	Professional		$627.72	$953.57	$1,414.55
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.63 / $22.63 / $22.63	Professional	AS	$22.63	$22.63	$22.63
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