Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $881.76 / $4,338.00 / $6,915.00	Facility		$881.76	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.46 / $3,735.84 / $21,657.35	Facility		$990.46	$3,735.84	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,123.33 / $1,356.50 / $1,845.24	Facility		$1,123.33	$1,356.50	$1,845.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $733.18 / $2,500.00	Facility		$500.00	$733.18	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $72.81 / $72.81 / $72.81	Facility	AS	$72.81	$72.81	$72.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $708.37 / $1,006.65 / $1,596.29	Professional		$708.37	$1,006.65	$1,596.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.54 / $25.54 / $25.54	Professional	AS	$25.54	$25.54	$25.54
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