Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $978.59 / $4,592.00 / $6,915.00	Facility		$978.59	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.00 / $2,580.19 / $6,160.12	Facility		$635.00	$2,580.19	$6,160.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,191.79 / $1,191.79 / $1,191.79	Facility		$1,191.79	$1,191.79	$1,191.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $964.50	Facility		$200.00	$617.00	$964.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.41 / $95.41 / $95.41	Facility	AS	$95.41	$95.41	$95.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $843.09 / $1,096.02 / $1,935.80	Professional		$843.09	$1,096.02	$1,935.80
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $63.16 / $63.16 / $80.62	Professional	80	$63.16	$63.16	$80.62
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.58 / $31.58 / $40.31	Professional	AS	$31.58	$31.58	$40.31
United Facility/Professional Facility Modifier Low / Median / High Price $576.00 / $3,895.00 / $6,995.00	Facility		$576.00	$3,895.00	$6,995.00