Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $806.94 / $4,338.00 / $6,915.00	Facility		$806.94	$4,338.00	$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 $1,402.92 / $1,650.50 / $2,291.13	Facility		$1,402.92	$1,650.50	$2,291.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $910.85 / $1,272.50	Facility		$860.00	$910.85	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $90.56 / $90.56 / $90.56	Facility	AS	$90.56	$90.56	$90.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $919.53 / $1,279.33 / $2,312.38	Professional		$919.53	$1,279.33	$2,312.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.00 / $37.00 / $37.00	Professional	AS	$37.00	$37.00	$37.00
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