Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.69 / $5,045.00 / $6,915.00	Facility		$82.69	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $131.38 / $131.38 / $131.38	Facility		$131.38	$131.38	$131.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $589.00 / $835.00	Facility		$200.00	$589.00	$835.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $9.25 / $9.25 / $9.25	Facility	AS	$9.25	$9.25	$9.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.89 / $106.46 / $455.16	Professional		$81.89	$106.46	$455.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $6.13 / $6.13 / $7.83	Professional	80	$6.13	$6.13	$7.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $3.07 / $3.07 / $3.92	Professional	AS	$3.07	$3.07	$3.92
United Facility/Professional Facility Modifier Low / Median / High Price $105.00 / $1,249.00 / $2,483.00	Facility		$105.00	$1,249.00	$2,483.00