Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,264.17 / $6,014.00 / $16,908.00	Facility		$2,264.17	$6,014.00	$16,908.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $9,454.90 / $26,321.46	Facility		$2,226.13	$9,454.90	$26,321.46
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,380.00 / $2,380.00 / $2,380.00	Facility		$2,380.00	$2,380.00	$2,380.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,780.07 / $9,270.00	Facility		$500.00	$1,780.07	$9,270.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $176.68 / $176.68 / $176.68	Facility	AS	$176.68	$176.68	$176.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,732.50 / $2,661.75 / $4,180.08	Professional		$1,732.50	$2,661.75	$4,180.08
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,684.96 / $4,684.96 / $4,684.96	Professional	22	$4,684.96	$4,684.96	$4,684.96
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $124.93 / $124.93 / $124.93	Professional	80	$124.93	$124.93	$124.93
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $62.47 / $62.47 / $62.47	Professional	AS	$62.47	$62.47	$62.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,908.00 / $10,242.00 / $20,361.00	Facility		$2,908.00	$10,242.00	$20,361.00