Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,187.92 / $4,467.00 / $6,915.00	Facility		$1,187.92	$4,467.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,084.74 / $7,114.08	Facility		$659.95	$3,084.74	$7,114.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,213.44 / $1,213.44 / $1,213.44	Facility		$1,213.44	$1,213.44	$1,213.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $958.75	Facility		$200.00	$617.00	$958.75
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $94.32 / $94.32 / $94.32	Facility	AS	$94.32	$94.32	$94.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $835.35 / $1,085.96 / $1,955.66	Professional		$835.35	$1,085.96	$1,955.66
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $62.58 / $62.58 / $79.88	Professional	80	$62.58	$62.58	$79.88
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.29 / $31.29 / $39.94	Professional	AS	$31.29	$31.29	$39.94
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00