Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.91 / $5,045.00 / $6,915.00	Facility		$1,535.91	$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 $2,315.89 / $2,315.89 / $2,315.89	Facility		$2,315.89	$2,315.89	$2,315.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.20 / $171.20 / $171.20	Facility	AS	$171.20	$171.20	$171.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,517.68 / $1,972.98 / $3,553.08	Professional		$1,517.68	$1,972.98	$3,553.08
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $113.70 / $113.70 / $145.13	Professional	80	$113.70	$113.70	$145.13
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $56.85 / $56.85 / $72.56	Professional	AS	$56.85	$56.85	$72.56
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