Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.19 / $5,063.00 / $6,915.00	Facility		$1,146.19	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,443.93 / $1,443.93 / $1,443.93	Facility		$1,443.93	$1,443.93	$1,443.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.13 / $128.13 / $128.13	Facility	AS	$128.13	$128.13	$128.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,133.64 / $1,473.73 / $6,654.00	Professional		$1,133.64	$1,473.73	$6,654.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $84.93 / $84.93 / $108.41	Professional	80	$84.93	$84.93	$108.41
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.46 / $42.46 / $54.20	Professional	AS	$42.46	$42.46	$54.20
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $2,923.00 / $8,133.00	Facility		$450.00	$2,923.00	$8,133.00