Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $770.73 / $3,391.00 / $9,498.50	Facility		$770.73	$3,391.00	$9,498.50
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 $1,270.84 / $1,270.84 / $1,270.84	Facility		$1,270.84	$1,270.84	$1,270.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.84 / $5,845.00 / $9,852.00	Facility		$858.84	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.30 / $84.30 / $84.30	Facility	AS	$84.30	$84.30	$84.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $825.74 / $1,268.63 / $2,101.44	Professional		$825.74	$1,268.63	$2,101.44
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.54 / $59.54 / $59.54	Professional	80	$59.54	$59.54	$59.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.77 / $29.77 / $29.77	Professional	AS	$29.77	$29.77	$29.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $24,000.00	Facility		$1,998.00	$9,193.00	$24,000.00