Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.38 / $4,467.00 / $6,915.00	Facility		$841.38	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $866.31 / $1,043.25 / $1,419.14	Facility		$866.31	$1,043.25	$1,419.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $565.41 / $565.41 / $2,172.58	Facility		$565.41	$565.41	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.11 / $56.11 / $56.11	Facility	AS	$56.11	$56.11	$56.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $544.79 / $792.43 / $1,227.69	Professional		$544.79	$792.43	$1,227.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.64 / $19.64 / $19.64	Professional	AS	$19.64	$19.64	$19.64
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