Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.25 / $2,950.00 / $6,915.00	Facility		$656.25	$2,950.00	$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 $841.37 / $841.37 / $841.37	Facility		$841.37	$841.37	$841.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $633.79 / $633.79 / $1,272.50	Facility		$633.79	$633.79	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $63.12 / $63.12 / $63.12	Facility	AS	$63.12	$63.12	$63.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $638.84 / $888.82 / $1,606.52	Professional		$638.84	$888.82	$1,606.52
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.70 / $25.70 / $25.70	Professional	AS	$25.70	$25.70	$25.70
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