Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $961.39 / $4,817.00 / $6,915.00	Facility		$961.39	$4,817.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,146.00 / $3,081.88 / $6,065.87	Facility		$1,146.00	$3,081.88	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,117.41 / $1,314.60 / $1,810.41	Facility		$1,117.41	$1,314.60	$1,810.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,658.10 / $2,580.60	Facility		$512.00	$1,658.10	$2,580.60
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.20 / $71.20 / $71.20	Facility	AS	$71.20	$71.20	$71.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $631.82 / $821.37 / $1,613.52	Professional		$631.82	$821.37	$1,613.52
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.33 / $47.33 / $60.42	Professional	80	$47.33	$47.33	$60.42
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.67 / $23.67 / $30.21	Professional	AS	$23.67	$23.67	$30.21
United Facility/Professional Facility Modifier Low / Median / High Price $685.00 / $4,752.00 / $8,448.00	Facility		$685.00	$4,752.00	$8,448.00