Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $959.39 / $5,376.00 / $10,572.00	Facility		$959.39	$5,376.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,538.97 / $14,509.03	Facility		$1,282.27	$5,538.97	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $935.15 / $1,129.92 / $1,537.02	Facility		$935.15	$1,129.92	$1,537.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $611.16 / $5,845.00 / $10,047.00	Facility		$611.16	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $60.51 / $60.51 / $60.51	Facility	AS	$60.51	$60.51	$60.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.04 / $840.84 / $1,691.52	Professional		$590.04	$840.84	$1,691.52
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.27 / $21.27 / $21.27	Professional	AS	$21.27	$21.27	$21.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,496.00 / $18,613.00	Facility		$1,998.00	$10,496.00	$18,613.00