Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.95 / $5,045.00 / $9,488.00	Facility		$327.95	$5,045.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,000.00 / $7,875.00 / $7,875.00	Facility		$3,000.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.27 / $485.40 / $660.29	Facility		$411.27	$485.40	$660.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.22 / $3,120.00 / $57,200.00	Facility		$265.22	$3,120.00	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $26.02 / $26.02 / $26.02	Facility	AS	$26.02	$26.02	$26.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.99 / $368.69 / $781.84	Professional		$264.99	$368.69	$781.84
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $21.32 / $21.32 / $21.32	Professional	80	$21.32	$21.32	$21.32
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $10.66 / $10.66 / $10.66	Professional	AS	$10.66	$10.66	$10.66
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,685.00 / $3,213.00	Facility		$212.00	$1,685.00	$3,213.00