Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,822.36 / $5,063.00 / $8,186.61	Facility		$1,822.36	$5,063.00	$8,186.61
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $9,025.50 / $9,025.50 / $13,069.92	Facility	50	$9,025.50	$9,025.50	$13,069.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.34 / $4,977.25 / $10,832.53	Facility		$1,434.34	$4,977.25	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,238.15 / $2,435.67 / $3,740.49	Facility		$2,238.15	$2,435.67	$3,740.49
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 $1,172.44 / $1,524.17 / $2,536.55	Professional		$1,172.44	$1,524.17	$2,536.55
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,731.90 / $2,731.90 / $2,731.90	Professional	22	$2,731.90	$2,731.90	$2,731.90
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $72.84 / $72.84 / $72.84	Professional	80	$72.84	$72.84	$72.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.43 / $36.43 / $36.43	Professional	AS	$36.43	$36.43	$36.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00