Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $3,562.00 / $7,000.00	Facility		$840.00	$3,562.00	$7,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $791.31 / $955.80 / $1,300.17	Facility		$791.31	$955.80	$1,300.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $518.17 / $518.17 / $2,172.58	Facility		$518.17	$518.17	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $51.49 / $51.49 / $51.49	Facility	AS	$51.49	$51.49	$51.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $499.14 / $721.00 / $1,127.49	Professional		$499.14	$721.00	$1,127.49
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $35.99 / $35.99 / $35.99	Professional	80	$35.99	$35.99	$35.99
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $18.00 / $18.00 / $18.00	Professional	AS	$18.00	$18.00	$18.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00