Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $401.10 / $3,194.20 / $6,915.00	Facility		$401.10	$3,194.20	$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 $230.82 / $313.26 / $347.25	Facility		$230.82	$313.26	$347.25
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 $230.82 / $323.14 / $1,208.00	Professional		$230.82	$323.14	$1,208.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $21.36 / $21.36 / $21.36	Professional	80	$21.36	$21.36	$21.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $10.68 / $10.68 / $10.68	Professional	AS	$10.68	$10.68	$10.68
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