Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $750.92 / $5,063.00 / $6,915.00	Facility		$750.92	$5,063.00	$6,915.00
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 $837.81 / $1,016.25 / $1,382.40	Facility		$837.81	$1,016.25	$1,382.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $549.79 / $549.79 / $2,172.58	Facility		$549.79	$549.79	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $54.47 / $54.47 / $54.47	Facility	AS	$54.47	$54.47	$54.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $745.35 / $1,515.24	Professional		$530.67	$745.35	$1,515.24
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.13 / $19.13 / $19.13	Professional	AS	$19.13	$19.13	$19.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00