Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,270.00 / $6,915.00 / $13,676.00	Facility		$2,270.00	$6,915.00	$13,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $3,027.60 / $9,026.11	Facility		$728.00	$3,027.60	$9,026.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.76 / $508.76 / $508.76	Facility		$508.76	$508.76	$508.76
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 $38.74 / $38.74 / $38.74	Facility	AS	$38.74	$38.74	$38.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.66 / $445.46 / $1,173.32	Professional		$342.66	$445.46	$1,173.32
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $25.67 / $25.67 / $32.77	Professional	80	$25.67	$25.67	$32.77
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.84 / $12.84 / $16.38	Professional	AS	$12.84	$12.84	$16.38
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