Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,353.00 / $6,915.00	Facility		$838.00	$4,353.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,034.51 / $1,034.51 / $1,034.51	Facility		$1,034.51	$1,034.51	$1,034.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $731.00 / $1,765.90	Facility		$453.00	$731.00	$1,765.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $77.44 / $77.44 / $77.44	Facility	AS	$77.44	$77.44	$77.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $681.31 / $885.70 / $1,595.05	Professional		$681.31	$885.70	$1,595.05
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.52 / $25.52 / $32.58	Professional	AS	$25.52	$25.52	$32.58
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,554.00	Facility		$651.00	$4,666.00	$8,554.00