Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.95 / $4,200.00 / $6,915.00	Facility		$665.95	$4,200.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $6,671.99 / $31,168.95	Facility		$996.37	$6,671.99	$31,168.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $844.87 / $844.87 / $844.87	Facility		$844.87	$844.87	$844.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $438.59 / $438.59 / $19,961.25	Facility		$438.59	$438.59	$19,961.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $43.55 / $43.55 / $43.55	Facility	AS	$43.55	$43.55	$43.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $442.36 / $615.46 / $1,271.40	Professional		$442.36	$615.46	$1,271.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.80 / $17.80 / $17.80	Professional	AS	$17.80	$17.80	$17.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,650.00 / $12,757.00 / $38,174.00	Facility		$2,650.00	$12,757.00	$38,174.00