Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.89 / $3,391.00 / $6,915.00	Facility		$534.89	$3,391.00	$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 $533.07 / $533.07 / $533.07	Facility		$533.07	$533.07	$533.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.38 / $365.38 / $2,500.00	Facility		$365.38	$365.38	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $368.72 / $541.86 / $1,624.70	Professional		$368.72	$541.86	$1,624.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.84 / $14.84 / $14.84	Professional	AS	$14.84	$14.84	$14.84
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,685.00 / $3,213.00	Facility		$212.00	$1,685.00	$3,213.00