Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $997.80 / $4,708.00 / $6,915.00	Facility		$997.80	$4,708.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $2,619.03 / $6,065.87	Facility		$659.95	$2,619.03	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,015.35 / $1,194.53 / $1,645.88	Facility		$1,015.35	$1,194.53	$1,645.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $868.00 / $2,128.69	Facility		$512.00	$868.00	$2,128.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $64.65 / $64.65 / $64.65	Facility	AS	$64.65	$64.65	$64.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $574.40 / $746.72 / $1,363.57	Professional		$574.40	$746.72	$1,363.57
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.52 / $21.52 / $27.46	Professional	AS	$21.52	$21.52	$27.46
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