Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.92 / $4,338.00 / $6,915.00	Facility		$689.92	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.14 / $1,011.11 / $1,458.09	Facility		$844.14	$1,011.11	$1,458.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $829.97 / $829.97 / $4,830.16	Facility		$829.97	$829.97	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.00 / $83.00 / $83.00	Facility	AS	$83.00	$83.00	$83.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $576.01 / $840.02 / $1,605.56	Professional		$576.01	$840.02	$1,605.56
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.04 / $19.04 / $25.69	Professional	AS	$19.04	$19.04	$25.69
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