Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $6,900.00 / $13,676.00	Facility		$1,925.00	$6,900.00	$13,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $647.00 / $2,983.70 / $9,026.11	Facility		$647.00	$2,983.70	$9,026.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $486.35 / $486.35 / $486.35	Facility		$486.35	$486.35	$486.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $3,237.36 / $9,829.00	Facility		$512.00	$3,237.36	$9,829.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $37.06 / $37.06 / $37.06	Facility	AS	$37.06	$37.06	$37.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.17 / $427.92 / $1,599.54	Professional		$329.17	$427.92	$1,599.54
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $24.66 / $24.66 / $31.48	Professional	80	$24.66	$24.66	$31.48
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.33 / $12.33 / $15.74	Professional	AS	$12.33	$12.33	$15.74
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00