Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,703.98 / $6,915.00 / $24,729.00	Facility		$2,703.98	$6,915.00	$24,729.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $16,871.20 / $47,597.80	Facility		$2,361.69	$16,871.20	$47,597.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,915.94 / $3,485.97 / $4,741.95	Facility		$2,915.94	$3,485.97	$4,741.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,891.01 / $52,000.00	Facility		$500.00	$1,891.01	$52,000.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.01 / $187.01 / $187.01	Facility	AS	$187.01	$187.01	$187.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,820.40 / $2,647.86 / $9,246.37	Professional		$1,820.40	$2,647.86	$9,246.37
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,247.28 / $7,247.28 / $7,247.28	Professional	22	$7,247.28	$7,247.28	$7,247.28
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $193.26 / $193.26 / $193.26	Professional	80	$193.26	$193.26	$193.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $96.63 / $96.63 / $96.63	Professional	AS	$96.63	$96.63	$96.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,908.00 / $16,710.00 / $28,629.00	Facility		$2,908.00	$16,710.00	$28,629.00