Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.77 / $4,592.00 / $6,915.00	Facility		$818.77	$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 $1,125.69 / $1,125.69 / $1,125.69	Facility		$1,125.69	$1,125.69	$1,125.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $984.90 / $984.90 / $6,579.24	Facility		$984.90	$984.90	$6,579.24
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.49 / $98.49 / $98.49	Facility	AS	$98.49	$98.49	$98.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $689.39 / $997.96 / $1,902.90	Professional		$689.39	$997.96	$1,902.90
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.78 / $22.78 / $30.45	Professional	AS	$22.78	$22.78	$30.45
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