Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.00 / $5,063.00 / $9,808.58	Facility		$1,533.00	$5,063.00	$9,808.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,543.44 / $1,859.81 / $2,529.89	Facility		$1,543.44	$1,859.81	$2,529.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,005.10 / $1,005.10 / $12,414.04	Facility		$1,005.10	$1,005.10	$12,414.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.88 / $99.88 / $99.88	Facility	AS	$99.88	$99.88	$99.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $971.20 / $1,391.23 / $2,188.58	Professional		$971.20	$1,391.23	$2,188.58
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,626.30 / $2,626.30 / $2,626.30	Professional	22	$2,626.30	$2,626.30	$2,626.30
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $70.03 / $70.03 / $70.03	Professional	80	$70.03	$70.03	$70.03
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.02 / $35.02 / $35.02	Professional	AS	$35.02	$35.02	$35.02
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