Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.17 / $3,391.00 / $6,915.00	Facility		$614.17	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.46 / $3,594.59 / $11,469.57	Facility		$522.46	$3,594.59	$11,469.57
CareSource Facility/Professional Facility Modifier Low / Median / High Price $602.00 / $602.00 / $602.00	Facility		$602.00	$602.00	$602.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $409.31 / $409.31 / $2,500.00	Facility		$409.31	$409.31	$2,500.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $250.96 / $250.96 / $250.96	Facility	62	$250.96	$250.96	$250.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $40.15 / $40.15 / $40.15	Facility	AS	$40.15	$40.15	$40.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $393.57 / $604.66 / $2,538.63	Professional		$393.57	$604.66	$2,538.63
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $332.59 / $332.59 / $332.59	Professional	62	$332.59	$332.59	$332.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.19 / $14.19 / $14.19	Professional	AS	$14.19	$14.19	$14.19
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