Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,339.96 / $5,045.00 / $6,915.00	Facility		$1,339.96	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,829.46 / $1,829.46 / $1,829.46	Facility		$1,829.46	$1,829.46	$1,829.46
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 $150.55 / $150.55 / $150.55	Facility	AS	$150.55	$150.55	$150.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,334.95 / $1,735.44 / $3,035.29	Professional		$1,334.95	$1,735.44	$3,035.29
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $100.01 / $100.01 / $127.66	Professional	80	$100.01	$100.01	$127.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $50.00 / $50.00 / $63.83	Professional	AS	$50.00	$50.00	$63.83
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