Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $605.09 / $5,045.00 / $9,488.00	Facility		$605.09	$5,045.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,036.49 / $1,228.67 / $1,671.36	Facility		$1,036.49	$1,228.67	$1,671.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $671.22 / $2,500.00	Facility		$500.00	$671.22	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $65.95 / $65.95 / $65.95	Facility	AS	$65.95	$65.95	$65.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.62 / $950.10 / $1,542.92	Professional		$641.62	$950.10	$1,542.92
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.13 / $23.13 / $23.13	Professional	AS	$23.13	$23.13	$23.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00