Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,051.36 / $5,045.00 / $6,915.00	Facility		$1,051.36	$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 $1,552.76 / $1,552.76 / $1,552.76	Facility		$1,552.76	$1,552.76	$1,552.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,199.82	Facility		$200.00	$617.00	$1,199.82
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $117.55 / $117.55 / $117.55	Facility	AS	$117.55	$117.55	$117.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,040.73 / $1,352.95 / $2,436.46	Professional		$1,040.73	$1,352.95	$2,436.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.97 / $77.97 / $99.52	Professional	80	$77.97	$77.97	$99.52
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.97 / $38.97 / $49.76	Professional	AS	$38.97	$38.97	$49.76
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