Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,197.75 / $6,389.00 / $13,676.00	Facility		$1,197.75	$6,389.00	$13,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.00 / $3,088.55 / $9,026.11	Facility		$728.00	$3,088.55	$9,026.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $558.57 / $558.57 / $558.57	Facility		$558.57	$558.57	$558.57
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 $42.13 / $42.13 / $42.13	Facility	AS	$42.13	$42.13	$42.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $372.46 / $484.20 / $2,307.02	Professional		$372.46	$484.20	$2,307.02
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $27.90 / $27.90 / $35.61	Professional	80	$27.90	$27.90	$35.61
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $13.95 / $13.95 / $17.80	Professional	AS	$13.95	$13.95	$17.80
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