Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $642.27 / $3,104.50 / $6,915.00	Facility		$642.27	$3,104.50	$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 $727.92 / $880.08 / $1,287.02	Facility		$727.92	$880.08	$1,287.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $714.12 / $714.12 / $2,172.58	Facility		$714.12	$714.12	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.41 / $71.41 / $71.41	Facility	AS	$71.41	$71.41	$71.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $501.36 / $731.15 / $1,484.92	Professional		$501.36	$731.15	$1,484.92
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.57 / $16.57 / $23.76	Professional	AS	$16.57	$16.57	$23.76
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