Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $833.50 / $3,391.00 / $6,915.00	Facility		$833.50	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,875.00 / $7,875.00	Facility		$2,500.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $603.24 / $603.24 / $603.24	Facility		$603.24	$603.24	$603.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.44 / $378.44 / $2,575.00	Facility		$378.44	$378.44	$2,575.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.13 / $37.13 / $37.13	Facility	AS	$37.13	$37.13	$37.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.20 / $562.62 / $1,584.00	Professional		$366.20	$562.62	$1,584.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.20 / $13.20 / $13.20	Professional	AS	$13.20	$13.20	$13.20
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