Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $550.89 / $3,295.00 / $6,915.00	Facility		$550.89	$3,295.00	$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 $696.80 / $696.80 / $696.80	Facility		$696.80	$696.80	$696.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $608.79 / $608.79 / $2,172.58	Facility		$608.79	$608.79	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.88 / $60.88 / $60.88	Facility	AS	$60.88	$60.88	$60.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $425.64 / $620.73 / $1,274.14	Professional		$425.64	$620.73	$1,274.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.07 / $14.07 / $20.39	Professional	AS	$14.07	$14.07	$20.39
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