Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $359.15 / $5,063.00 / $11,103.00	Facility		$359.15	$5,063.00	$11,103.00
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 $284.99 / $284.99 / $284.99	Facility		$284.99	$284.99	$284.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,846.00 / $9,852.00	Facility		$512.00	$1,846.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.84 / $20.84 / $20.84	Facility	AS	$20.84	$20.84	$20.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.95 / $240.44 / $856.34	Professional		$184.95	$240.44	$856.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.93 / $6.93 / $8.84	Professional	AS	$6.93	$6.93	$8.84
United Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $866.00 / $2,665.00	Facility		$77.00	$866.00	$2,665.00