Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.42 / $5,045.00 / $7,421.00	Facility		$119.42	$5,045.00	$7,421.00
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 $188.80 / $188.80 / $188.80	Facility		$188.80	$188.80	$188.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $617.00 / $835.00	Facility		$506.00	$617.00	$835.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $13.27 / $13.27 / $13.27	Facility	AS	$13.27	$13.27	$13.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.79 / $153.13 / $333.75	Professional		$117.79	$153.13	$333.75
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $8.82 / $8.82 / $11.26	Professional	80	$8.82	$8.82	$11.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $4.41 / $4.41 / $5.63	Professional	AS	$4.41	$4.41	$5.63
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