Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $621.38 / $3,391.00 / $6,915.00	Facility		$621.38	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $522.46 / $3,914.36 / $12,621.87	Facility		$522.46	$3,914.36	$12,621.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $606.52 / $606.52 / $606.52	Facility		$606.52	$606.52	$606.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $406.87 / $406.87 / $2,500.00	Facility		$406.87	$406.87	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $39.89 / $39.89 / $39.89	Facility	AS	$39.89	$39.89	$39.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $392.14 / $602.47 / $1,318.12	Professional		$392.14	$602.47	$1,318.12
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $28.28 / $28.28 / $28.28	Professional	80	$28.28	$28.28	$28.28
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.14 / $14.14 / $14.14	Professional	AS	$14.14	$14.14	$14.14
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