Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.50 / $6,208.99 / $12,380.00	Facility		$1,374.50	$6,208.99	$12,380.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,516.40 / $12,227.65	Facility		$1,680.00	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,488.92 / $1,793.31 / $2,439.42	Facility		$1,488.92	$1,793.31	$2,439.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $969.02 / $969.02 / $4,830.16	Facility		$969.02	$969.02	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $96.34 / $96.34 / $96.34	Facility	AS	$96.34	$96.34	$96.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.47 / $1,438.76 / $3,632.00	Professional		$936.47	$1,438.76	$3,632.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,532.38 / $2,532.38 / $2,532.38	Professional	22	$2,532.38	$2,532.38	$2,532.38
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $67.53 / $67.53 / $67.53	Professional	80	$67.53	$67.53	$67.53
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.77 / $33.77 / $33.77	Professional	AS	$33.77	$33.77	$33.77
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