Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $815.68 / $4,338.00 / $6,915.00	Facility		$815.68	$4,338.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $802.32 / $802.32 / $802.32	Facility		$802.32	$802.32	$802.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $538.97 / $538.97 / $4,830.16	Facility		$538.97	$538.97	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $53.50 / $53.50 / $53.50	Facility	AS	$53.50	$53.50	$53.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $517.39 / $752.56 / $1,169.98	Professional		$517.39	$752.56	$1,169.98
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $37.31 / $37.31 / $37.31	Professional	80	$37.31	$37.31	$37.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $18.64 / $18.64 / $18.64	Professional	AS	$18.64	$18.64	$18.64
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