Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.11 / $3,391.00 / $6,915.00	Facility		$417.11	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $21,482.13 / $45,787.48 / $53,867.62	Facility		$21,482.13	$45,787.48	$53,867.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $236.14 / $320.94 / $357.45	Facility		$236.14	$320.94	$357.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23,903.00 / $23,903.00 / $23,903.00	Facility		$23,903.00	$23,903.00	$23,903.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $236.14 / $330.60 / $1,229.00	Professional		$236.14	$330.60	$1,229.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $21.85 / $21.85 / $21.85	Professional	80	$21.85	$21.85	$21.85
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $10.93 / $10.93 / $10.93	Professional	AS	$10.93	$10.93	$10.93
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00