Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.58 / $3,391.00 / $6,915.00	Facility		$322.58	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $305.92 / $305.92 / $305.92	Facility		$305.92	$305.92	$305.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.57 / $208.57 / $2,500.00	Facility		$208.57	$208.57	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.47 / $20.47 / $20.47	Facility	AS	$20.47	$20.47	$20.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.46 / $306.45 / $856.51	Professional		$199.46	$306.45	$856.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.70 / $13.70 / $13.70	Professional	AS	$13.70	$13.70	$13.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00