Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $849.43 / $5,595.00 / $12,228.00	Facility		$849.43	$5,595.00	$12,228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $865.10 / $1,047.75 / $1,425.24	Facility		$865.10	$1,047.75	$1,425.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.90 / $5,845.00 / $10,047.00	Facility		$566.90	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $55.89 / $55.89 / $55.89	Facility	AS	$55.89	$55.89	$55.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $547.14 / $766.56 / $1,685.38	Professional		$547.14	$766.56	$1,685.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.73 / $19.73 / $19.73	Professional	AS	$19.73	$19.73	$19.73
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $14,120.00	Facility		$1,519.00	$6,689.00	$14,120.00