Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,226.45 / $4,194.00 / $7,631.00	Facility		$1,226.45	$4,194.00	$7,631.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,097.00 / $5,285.04 / $9,583.50	Facility	50	$2,097.00	$5,285.04	$9,583.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.34 / $4,845.66 / $10,832.53	Facility		$1,434.34	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,099.60 / $1,328.69 / $2,144.31	Facility		$1,099.60	$1,328.69	$2,144.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $3,388.37 / $3,388.37	Facility		$3,388.37	$3,388.37	$3,388.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $954.80 / $1,241.24 / $1,691.05	Professional		$954.80	$1,241.24	$1,691.05
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,224.76 / $2,224.76 / $2,224.76	Professional	22	$2,224.76	$2,224.76	$2,224.76
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.33 / $59.33 / $59.33	Professional	80	$59.33	$59.33	$59.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.66 / $29.66 / $29.66	Professional	AS	$29.66	$29.66	$29.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00