Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.63 / $6,915.00 / $14,497.00	Facility		$301.63	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,088.00 / $4,795.72 / $13,137.87	Facility		$1,088.00	$4,795.72	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $200.75 / $200.75 / $200.75	Facility		$200.75	$200.75	$200.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $9,852.00	Facility		$512.00	$835.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $17.41 / $17.41 / $17.41	Facility	AS	$17.41	$17.41	$17.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $153.94 / $200.12 / $931.00	Professional		$153.94	$200.12	$931.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $11.53 / $11.53 / $14.72	Professional	80	$11.53	$11.53	$14.72
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.77 / $5.77 / $7.36	Professional	AS	$5.77	$5.77	$7.36
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00