Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $831.54 / $3,391.00 / $10,897.00	Facility		$831.54	$3,391.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.89 / $1,825.00 / $23,994.42	Facility		$521.89	$1,825.00	$23,994.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.03 / $1,346.03 / $1,346.03	Facility		$1,346.03	$1,346.03	$1,346.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $928.06 / $5,845.00 / $9,852.00	Facility		$928.06	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $569.25 / $569.25 / $569.25	Facility	62	$569.25	$569.25	$569.25
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $91.08 / $91.08 / $91.08	Facility	AS	$91.08	$91.08	$91.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $892.68 / $1,371.49 / $2,011.65	Professional		$892.68	$1,371.49	$2,011.65
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $754.37 / $754.37 / $754.37	Professional	62	$754.37	$754.37	$754.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $64.37 / $64.37 / $64.37	Professional	80	$64.37	$64.37	$64.37
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.19 / $32.19 / $32.19	Professional	AS	$32.19	$32.19	$32.19
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,800.00 / $24,000.00	Facility		$175.00	$1,800.00	$24,000.00