Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.98 / $2,950.00 / $6,915.00	Facility		$703.98	$2,950.00	$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 $1,136.94 / $1,366.40 / $1,858.70	Facility		$1,136.94	$1,366.40	$1,858.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $740.17 / $740.17 / $6,268.76	Facility		$740.17	$740.17	$6,268.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.45 / $73.45 / $73.45	Facility	AS	$73.45	$73.45	$73.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $713.54 / $1,037.86 / $1,607.97	Professional		$713.54	$1,037.86	$1,607.97
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $51.46 / $51.46 / $51.46	Professional	80	$51.46	$51.46	$51.46
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $25.73 / $25.73 / $25.73	Professional	AS	$25.73	$25.73	$25.73
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