Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $784.30 / $4,592.00 / $6,915.00	Facility		$784.30	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $637.50 / $2,601.00 / $7,513.42	Facility		$637.50	$2,601.00	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $720.41 / $847.55 / $1,179.48	Facility		$720.41	$847.55	$1,179.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $3,685.16	Facility		$506.00	$703.00	$3,685.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $47.01 / $47.01 / $47.01	Facility	AS	$47.01	$47.01	$47.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $411.64 / $535.13 / $1,342.29	Professional		$411.64	$535.13	$1,342.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $30.84 / $30.84 / $39.36	Professional	80	$30.84	$30.84	$39.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.42 / $15.42 / $19.68	Professional	AS	$15.42	$15.42	$19.68
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00