Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $805.54 / $5,045.00 / $6,915.00	Facility		$805.54	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $55,752.34	Facility		$1,282.27	$5,155.99	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,374.53 / $1,623.90 / $2,208.98	Facility		$1,374.53	$1,623.90	$2,208.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $892.03 / $2,500.00	Facility		$500.00	$892.03	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.39 / $87.39 / $87.39	Facility	AS	$87.39	$87.39	$87.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $848.01 / $1,266.78 / $2,134.48	Professional		$848.01	$1,266.78	$2,134.48
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.15 / $61.15 / $61.15	Professional	80	$61.15	$61.15	$61.15
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.58 / $30.58 / $30.58	Professional	AS	$30.58	$30.58	$30.58
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00