Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.80 / $5,045.00 / $6,915.00	Facility		$140.80	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $494.00 / $3,514.57 / $10,304.31	Facility		$494.00	$3,514.57	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $222.79 / $222.79 / $222.79	Facility		$222.79	$222.79	$222.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $15.62 / $15.62 / $15.62	Facility	AS	$15.62	$15.62	$15.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.37 / $179.88 / $807.47	Professional		$138.37	$179.88	$807.47
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $10.37 / $10.37 / $13.23	Professional	80	$10.37	$10.37	$13.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $5.18 / $5.18 / $6.62	Professional	AS	$5.18	$5.18	$6.62
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