Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $656.71 / $2,891.00 / $6,915.00	Facility		$656.71	$2,891.00	$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 $1,113.74 / $1,338.39 / $1,820.60	Facility		$1,113.74	$1,338.39	$1,820.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $725.82 / $725.82 / $6,301.26	Facility		$725.82	$725.82	$6,301.26
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.98 / $71.98 / $71.98	Facility	AS	$71.98	$71.98	$71.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $698.92 / $1,016.61 / $2,167.60	Professional		$698.92	$1,016.61	$2,167.60
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $50.40 / $50.40 / $50.40	Professional	80	$50.40	$50.40	$50.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.20 / $25.20 / $25.20	Professional	AS	$25.20	$25.20	$25.20
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