Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,454.15 / $5,137.00 / $9,036.00	Facility		$1,454.15	$5,137.00	$9,036.00
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 $1,537.53 / $1,854.08 / $2,522.09	Facility		$1,537.53	$1,854.08	$2,522.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,002.12 / $1,002.12 / $11,918.77	Facility		$1,002.12	$1,002.12	$11,918.77
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $99.62 / $99.62 / $99.62	Facility	AS	$99.62	$99.62	$99.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $968.21 / $1,486.83 / $2,184.60	Professional		$968.21	$1,486.83	$2,184.60
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,618.19 / $2,618.19 / $2,618.19	Professional	22	$2,618.19	$2,618.19	$2,618.19
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.81 / $69.81 / $69.81	Professional	80	$69.81	$69.81	$69.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.90 / $34.90 / $34.90	Professional	AS	$34.90	$34.90	$34.90
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