Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $848.21 / $5,079.00 / $9,512.00	Facility		$848.21	$5,079.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.51 / $950.51 / $950.51	Facility		$950.51	$950.51	$950.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $726.86 / $726.86 / $6,674.66	Facility		$726.86	$726.86	$6,674.66
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.95 / $71.95 / $71.95	Facility	AS	$71.95	$71.95	$71.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $701.12 / $978.97 / $1,579.96	Professional		$701.12	$978.97	$1,579.96
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.28 / $25.28 / $25.28	Professional	AS	$25.28	$25.28	$25.28
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