Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.00 / $3,043.00 / $6,915.00	Facility		$466.00	$3,043.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,795.56 / $6,315.83	Facility		$741.08	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $604.59 / $604.59 / $604.59	Facility		$604.59	$604.59	$604.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $423.32 / $423.32 / $2,172.58	Facility		$423.32	$423.32	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $41.91 / $41.91 / $41.91	Facility	AS	$41.91	$41.91	$41.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.65 / $591.00 / $920.74	Professional		$407.65	$591.00	$920.74
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $29.40 / $29.40 / $29.40	Professional	80	$29.40	$29.40	$29.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $14.70 / $14.70 / $14.70	Professional	AS	$14.70	$14.70	$14.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00