Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.09 / $4,592.00 / $6,915.00	Facility		$729.09	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.51 / $1,123.98 / $1,528.94	Facility		$935.51	$1,123.98	$1,528.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $916.89 / $916.89 / $2,172.58	Facility		$916.89	$916.89	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.69 / $91.69 / $91.69	Facility	AS	$91.69	$91.69	$91.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $640.30 / $917.12 / $1,748.76	Professional		$640.30	$917.12	$1,748.76
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.16 / $21.16 / $27.98	Professional	AS	$21.16	$21.16	$27.98
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