Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.30 / $6,056.00 / $12,228.00	Facility		$890.30	$6,056.00	$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 $867.99 / $1,050.83 / $1,429.43	Facility		$867.99	$1,050.83	$1,429.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $568.39 / $5,845.00 / $10,047.00	Facility		$568.39	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.48 / $56.48 / $56.48	Facility	AS	$56.48	$56.48	$56.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $548.75 / $779.18 / $1,401.23	Professional		$548.75	$779.18	$1,401.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.79 / $19.79 / $19.79	Professional	AS	$19.79	$19.79	$19.79
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