Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.86 / $4,817.00 / $9,036.00	Facility		$842.86	$4,817.00	$9,036.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $942.39 / $942.39 / $942.39	Facility		$942.39	$942.39	$942.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.69 / $311.69 / $4,830.16	Facility		$311.69	$311.69	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $30.65 / $30.65 / $30.65	Facility	AS	$30.65	$30.65	$30.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $296.26 / $450.49 / $1,237.83	Professional		$296.26	$450.49	$1,237.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $21.36 / $21.36 / $21.36	Professional	80	$21.36	$21.36	$21.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $10.68 / $10.68 / $10.68	Professional	AS	$10.68	$10.68	$10.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00