Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.60 / $4,592.00 / $6,915.00	Facility		$628.60	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $707.76 / $852.77 / $1,236.38	Facility		$707.76	$852.77	$1,236.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $694.45 / $694.45 / $4,830.16	Facility		$694.45	$694.45	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $69.45 / $69.45 / $69.45	Facility	AS	$69.45	$69.45	$69.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $485.80 / $713.80 / $1,465.57	Professional		$485.80	$713.80	$1,465.57
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $16.05 / $16.05 / $23.45	Professional	AS	$16.05	$16.05	$23.45
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