Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.50 / $4,700.00 / $7,247.40	Facility		$792.50	$4,700.00	$7,247.40
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 $891.47 / $891.47 / $891.47	Facility		$891.47	$891.47	$891.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.03 / $629.03 / $2,225.00	Facility		$629.03	$629.03	$2,225.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $62.30 / $62.30 / $62.30	Facility	AS	$62.30	$62.30	$62.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $606.88 / $929.84 / $3,467.00	Professional		$606.88	$929.84	$3,467.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.88 / $21.88 / $21.88	Professional	AS	$21.88	$21.88	$21.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,581.00 / $7,647.00	Facility		$1,323.00	$4,581.00	$7,647.00