Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $184.14 / $5,063.00 / $6,915.00	Facility		$184.14	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $666.00 / $1,612.78 / $2,987.00	Facility		$666.00	$1,612.78	$2,987.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $182.60 / $182.60 / $182.60	Facility		$182.60	$182.60	$182.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.81 / $115.81 / $2,500.00	Facility		$115.81	$115.81	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $11.30 / $11.30 / $11.30	Facility	AS	$11.30	$11.30	$11.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $110.65 / $165.61 / $327.79	Professional		$110.65	$165.61	$327.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.99 / $3.99 / $3.99	Professional	AS	$3.99	$3.99	$3.99
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