Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,063.00 / $7,421.00	Facility		$984.00	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,634.62 / $5,292.58	Facility		$964.00	$2,634.62	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $678.41 / $678.41 / $678.41	Facility		$678.41	$678.41	$678.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.00 / $478.00 / $2,225.00	Facility		$478.00	$478.00	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.39 / $47.39 / $47.39	Facility	AS	$47.39	$47.39	$47.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $461.23 / $707.69 / $2,575.00	Professional		$461.23	$707.69	$2,575.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.63 / $16.63 / $16.63	Professional	AS	$16.63	$16.63	$16.63
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00