Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.83 / $3,391.00 / $6,915.00	Facility		$161.83	$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 $123.54 / $145.91 / $198.50	Facility		$123.54	$145.91	$198.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.06 / $79.06 / $2,500.00	Facility		$79.06	$79.06	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $7.76 / $7.76 / $7.76	Facility	AS	$7.76	$7.76	$7.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.20 / $110.85 / $639.00	Professional		$76.20	$110.85	$639.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $7.98 / $7.98 / $7.98	Professional	80	$7.98	$7.98	$7.98
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.99 / $3.99 / $3.99	Professional	AS	$3.99	$3.99	$3.99
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00