Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.57 / $3,391.00 / $7,421.00	Facility		$908.57	$3,391.00	$7,421.00
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 $928.11 / $928.11 / $928.11	Facility		$928.11	$928.11	$928.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $574.25 / $574.25 / $2,500.00	Facility		$574.25	$574.25	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.33 / $56.33 / $56.33	Facility	AS	$56.33	$56.33	$56.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $553.10 / $849.77 / $4,602.00	Professional		$553.10	$849.77	$4,602.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.94 / $19.94 / $19.94	Professional	AS	$19.94	$19.94	$19.94
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