Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,649.92 / $5,063.00 / $9,488.00	Facility		$1,649.92	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,082.23 / $2,497.71 / $3,397.62	Facility		$2,082.23	$2,497.71	$3,397.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,352.50 / $2,500.00	Facility		$500.00	$1,352.50	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.18 / $134.18 / $134.18	Facility	AS	$134.18	$134.18	$134.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.33 / $1,886.08 / $3,706.51	Professional		$1,304.33	$1,886.08	$3,706.51
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,527.14 / $3,527.14 / $3,527.14	Professional	22	$3,527.14	$3,527.14	$3,527.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $94.06 / $94.06 / $94.06	Professional	80	$94.06	$94.06	$94.06
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.03 / $47.03 / $47.03	Professional	AS	$47.03	$47.03	$47.03
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