Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.01 / $5,063.00 / $8,136.91	Facility		$989.01	$5,063.00	$8,136.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,068.10 / $1,292.04 / $1,757.55	Facility		$1,068.10	$1,292.04	$1,757.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.59 / $698.59 / $2,172.58	Facility		$698.59	$698.59	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.16 / $69.16 / $69.16	Facility	AS	$69.16	$69.16	$69.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $674.71 / $947.15 / $1,559.25	Professional		$674.71	$947.15	$1,559.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.33 / $24.33 / $24.33	Professional	AS	$24.33	$24.33	$24.33
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