Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.27 / $6,654.00 / $11,103.00	Facility		$1,234.27	$6,654.00	$11,103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,733.69 / $9,156.52	Facility		$814.00	$3,733.69	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $950.01 / $950.01 / $950.01	Facility		$950.01	$950.01	$950.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $742.06 / $1,233.00	Facility		$200.00	$742.06	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $73.15 / $73.15 / $73.15	Facility	AS	$73.15	$73.15	$73.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $647.49 / $841.74 / $1,816.65	Professional		$647.49	$841.74	$1,816.65
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $48.51 / $48.51 / $61.92	Professional	80	$48.51	$48.51	$61.92
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.25 / $24.25 / $30.96	Professional	AS	$24.25	$24.25	$30.96
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00