Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $757.91 / $5,045.00 / $9,995.84	Facility		$757.91	$5,045.00	$9,995.84
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 $727.46 / $727.46 / $727.46	Facility		$727.46	$727.46	$727.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.75 / $555.75 / $2,172.58	Facility		$555.75	$555.75	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.33 / $55.33 / $55.33	Facility	AS	$55.33	$55.33	$55.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $535.42 / $745.51 / $1,206.57	Professional		$535.42	$745.51	$1,206.57
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.30 / $19.30 / $19.30	Professional	AS	$19.30	$19.30	$19.30
United Facility/Professional Facility Modifier Low / Median / High Price $1,323.00 / $4,594.00 / $7,647.00	Facility		$1,323.00	$4,594.00	$7,647.00