Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,299.20 / $5,063.00 / $14,490.00	Facility		$1,299.20	$5,063.00	$14,490.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $16,379.15 / $39,007.80	Facility		$1,282.27	$16,379.15	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,258.58 / $1,258.58 / $1,258.58	Facility		$1,258.58	$1,258.58	$1,258.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $937.78 / $2,500.00	Facility		$500.00	$937.78	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $93.28 / $93.28 / $93.28	Facility	AS	$93.28	$93.28	$93.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $911.12 / $1,389.15 / $2,937.91	Professional		$911.12	$1,389.15	$2,937.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,463.82 / $2,463.82 / $2,463.82	Professional	22	$2,463.82	$2,463.82	$2,463.82
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $65.70 / $65.70 / $65.70	Professional	80	$65.70	$65.70	$65.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.85 / $32.85 / $32.85	Professional	AS	$32.85	$32.85	$32.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00