Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.34 / $4,338.00 / $6,915.00	Facility		$682.34	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $662.83 / $662.83 / $662.83	Facility		$662.83	$662.83	$662.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $481.68 / $481.68 / $6,106.64	Facility		$481.68	$481.68	$6,106.64
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $48.17 / $48.17 / $48.17	Facility	AS	$48.17	$48.17	$48.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.92 / $645.78 / $1,031.91	Professional		$457.92	$645.78	$1,031.91
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.51 / $16.51 / $16.51	Professional	AS	$16.51	$16.51	$16.51
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