Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.66 / $4,338.00 / $10,897.00	Facility		$572.66	$4,338.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $7,532.09 / $23,994.42	Facility		$2,226.13	$7,532.09	$23,994.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $529.62 / $529.62 / $529.62	Facility		$529.62	$529.62	$529.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.30 / $365.30 / $2,500.00	Facility		$365.30	$365.30	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $35.86 / $35.86 / $35.86	Facility	AS	$35.86	$35.86	$35.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $350.92 / $539.14 / $1,179.16	Professional		$350.92	$539.14	$1,179.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $25.31 / $25.31 / $25.31	Professional	80	$25.31	$25.31	$25.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.65 / $12.65 / $12.65	Professional	AS	$12.65	$12.65	$12.65
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,580.00 / $2,665.00	Facility		$175.00	$1,580.00	$2,665.00