Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $468.61 / $3,391.00 / $6,915.00	Facility		$468.61	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.14 / $1,994.79 / $6,065.87	Facility		$538.14	$1,994.79	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $458.41 / $458.41 / $458.41	Facility		$458.41	$458.41	$458.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $319.81 / $319.81 / $2,500.00	Facility		$319.81	$319.81	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $31.39 / $31.39 / $31.39	Facility	AS	$31.39	$31.39	$31.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.02 / $474.79 / $959.49	Professional		$309.02	$474.79	$959.49
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $22.29 / $22.29 / $22.29	Professional	80	$22.29	$22.29	$22.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $11.14 / $11.14 / $11.14	Professional	AS	$11.14	$11.14	$11.14
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