Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $791.77 / $5,063.00 / $7,268.00	Facility		$791.77	$5,063.00	$7,268.00
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 $924.51 / $1,120.71 / $1,524.50	Facility		$924.51	$1,120.71	$1,524.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $606.34 / $606.34 / $2,172.58	Facility		$606.34	$606.34	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.17 / $60.17 / $60.17	Facility	AS	$60.17	$60.17	$60.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $585.24 / $830.18 / $1,338.07	Professional		$585.24	$830.18	$1,338.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.10 / $21.10 / $21.10	Professional	AS	$21.10	$21.10	$21.10
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