Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,072.48 / $5,045.00 / $6,915.00	Facility		$1,072.48	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,595.87 / $8,313.99	Facility		$659.95	$3,595.87	$8,313.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,573.99 / $1,573.99 / $1,573.99	Facility		$1,573.99	$1,573.99	$1,573.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,229.08	Facility		$200.00	$617.00	$1,229.08
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $120.64 / $120.64 / $120.64	Facility	AS	$120.64	$120.64	$120.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,063.53 / $1,382.59 / $2,489.84	Professional		$1,063.53	$1,382.59	$2,489.84
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.67 / $79.67 / $101.70	Professional	80	$79.67	$79.67	$101.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.84 / $39.84 / $50.85	Professional	AS	$39.84	$39.84	$50.85
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