Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.32 / $5,045.00 / $6,915.00	Facility		$181.32	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $3,107.04 / $6,147.04	Facility		$1,063.95	$3,107.04	$6,147.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $291.29 / $291.29 / $291.29	Facility		$291.29	$291.29	$291.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $199.25 / $199.25 / $2,500.00	Facility		$199.25	$199.25	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $19.50 / $19.50 / $19.50	Facility	AS	$19.50	$19.50	$19.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.52 / $282.61 / $1,077.42	Professional		$198.52	$282.61	$1,077.42
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.99 / $7.99 / $7.99	Professional	AS	$7.99	$7.99	$7.99
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,372.00 / $8,133.00	Facility		$1,162.00	$3,372.00	$8,133.00