Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $745.94 / $4,338.00 / $6,915.00	Facility		$745.94	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $847.11 / $1,026.63 / $1,396.52	Facility		$847.11	$1,026.63	$1,396.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $555.37 / $555.37 / $2,172.58	Facility		$555.37	$555.37	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.10 / $55.10 / $55.10	Facility	AS	$55.10	$55.10	$55.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $536.12 / $753.69 / $1,208.14	Professional		$536.12	$753.69	$1,208.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.32 / $19.32 / $19.32	Professional	AS	$19.32	$19.32	$19.32
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00