Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $983.96 / $4,841.00 / $6,915.00	Facility		$983.96	$4,841.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,123.70 / $1,368.56 / $1,861.64	Facility		$1,123.70	$1,368.56	$1,861.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.37 / $741.37 / $6,438.37	Facility		$741.37	$741.37	$6,438.37
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.78 / $73.78 / $73.78	Facility	AS	$73.78	$73.78	$73.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $714.67 / $1,040.72 / $1,651.93	Professional		$714.67	$1,040.72	$1,651.93
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.77 / $25.77 / $25.77	Professional	AS	$25.77	$25.77	$25.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00