Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.35 / $5,045.00 / $6,915.00	Facility		$299.35	$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 $466.36 / $466.36 / $466.36	Facility		$466.36	$466.36	$466.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.52 / $333.52 / $2,500.00	Facility		$333.52	$333.52	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $32.72 / $32.72 / $32.72	Facility	AS	$32.72	$32.72	$32.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.41 / $466.70 / $1,655.34	Professional		$334.41	$466.70	$1,655.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.46 / $13.46 / $13.46	Professional	AS	$13.46	$13.46	$13.46
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00