Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.75 / $3,826.00 / $6,915.00	Facility		$695.75	$3,826.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.21 / $1,226.60 / $1,701.80	Facility		$1,037.21	$1,226.60	$1,701.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $675.90 / $675.90 / $1,272.50	Facility		$675.90	$675.90	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.33 / $67.33 / $67.33	Facility	AS	$67.33	$67.33	$67.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $683.01 / $950.27 / $1,717.59	Professional		$683.01	$950.27	$1,717.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.48 / $27.48 / $27.48	Professional	AS	$27.48	$27.48	$27.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00