Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $737.50 / $2,434.00 / $7,000.00	Facility		$737.50	$2,434.00	$7,000.00
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 $731.76 / $989.99 / $1,737.29	Facility		$731.76	$989.99	$1,737.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $800.82 / $800.82 / $6,578.81	Facility		$800.82	$800.82	$6,578.81
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $80.08 / $80.08 / $80.08	Facility	AS	$80.08	$80.08	$80.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $771.14 / $1,094.55 / $1,737.77	Professional		$771.14	$1,094.55	$1,737.77
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $55.61 / $55.61 / $55.61	Professional	80	$55.61	$55.61	$55.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.80 / $27.80 / $27.80	Professional	AS	$27.80	$27.80	$27.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00