Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.37 / $4,841.00 / $6,915.00	Facility		$759.37	$4,841.00	$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 $855.14 / $1,038.00 / $1,411.98	Facility		$855.14	$1,038.00	$1,411.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $561.69 / $561.69 / $2,172.58	Facility		$561.69	$561.69	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.55 / $55.55 / $55.55	Facility	AS	$55.55	$55.55	$55.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $542.04 / $753.02 / $1,221.49	Professional		$542.04	$753.02	$1,221.49
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.54 / $19.54 / $19.54	Professional	AS	$19.54	$19.54	$19.54
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