Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $472.50 / $3,460.00 / $10,897.00	Facility		$472.50	$3,460.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $22,373.24 / $26,321.46	Facility		$7,875.00	$22,373.24	$26,321.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $603.24 / $603.24 / $603.24	Facility		$603.24	$603.24	$603.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $381.02 / $381.02 / $2,575.00	Facility		$381.02	$381.02	$2,575.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.39 / $37.39 / $37.39	Facility	AS	$37.39	$37.39	$37.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.61 / $563.24 / $3,625.00	Professional		$366.61	$563.24	$3,625.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $26.44 / $26.44 / $26.44	Professional	80	$26.44	$26.44	$26.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.22 / $13.22 / $13.22	Professional	AS	$13.22	$13.22	$13.22
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