Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $779.78 / $4,908.00 / $6,915.00	Facility		$779.78	$4,908.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,076.81 / $1,268.21 / $1,760.63	Facility		$1,076.81	$1,268.21	$1,760.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.21 / $698.21 / $1,653.56	Facility		$698.21	$698.21	$1,653.56
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.23 / $69.23 / $69.23	Facility	AS	$69.23	$69.23	$69.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $675.88 / $962.25 / $1,523.09	Professional		$675.88	$962.25	$1,523.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.37 / $24.37 / $24.37	Professional	AS	$24.37	$24.37	$24.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,218.00 / $5,352.00	Facility		$1,162.00	$3,218.00	$5,352.00