Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.67 / $5,063.00 / $6,915.00	Facility		$237.67	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $1,298.47 / $3,132.87	Facility		$666.00	$1,298.47	$3,132.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.49 / $232.49 / $232.49	Facility		$232.49	$232.49	$232.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.81 / $2,225.00 / $57,200.00	Facility		$152.81	$2,225.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $14.95 / $14.95 / $14.95	Facility	AS	$14.95	$14.95	$14.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $221.86 / $435.36	Professional		$144.41	$221.86	$435.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.21 / $5.21 / $5.21	Professional	AS	$5.21	$5.21	$5.21
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