Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.00 / $3,460.00 / $6,915.00	Facility		$632.00	$3,460.00	$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 $435.41 / $435.41 / $435.41	Facility		$435.41	$435.41	$435.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.48 / $275.48 / $2,500.00	Facility		$275.48	$275.48	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $27.03 / $27.03 / $27.03	Facility	AS	$27.03	$27.03	$27.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $388.76 / $1,150.00	Professional		$263.85	$388.76	$1,150.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $9.51 / $9.51 / $9.51	Professional	AS	$9.51	$9.51	$9.51
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