Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.20 / $5,063.00 / $8,950.00	Facility		$76.20	$5,063.00	$8,950.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $135.54 / $174.39 / $238.65	Facility		$135.54	$174.39	$238.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $96.68 / $96.68 / $2,500.00	Facility		$96.68	$96.68	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.47 / $9.47 / $9.47	Facility	AS	$9.47	$9.47	$9.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $83.29 / $91.62 / $3,649.98	Professional		$83.29	$91.62	$3,649.98
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $2.33 / $2.33 / $2.33	Professional	AS	$2.33	$2.33	$2.33
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00