Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,728.46 / $5,063.00 / $7,421.00	Facility		$1,728.46	$5,063.00	$7,421.00
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 $2,143.52 / $2,570.42 / $3,496.53	Facility		$2,143.52	$2,570.42	$3,496.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,390.85 / $2,500.00	Facility		$500.00	$1,390.85	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $137.94 / $137.94 / $137.94	Facility	AS	$137.94	$137.94	$137.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,342.29 / $1,941.20 / $3,677.95	Professional		$1,342.29	$1,941.20	$3,677.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,629.77 / $3,629.77 / $3,629.77	Professional	22	$3,629.77	$3,629.77	$3,629.77
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $96.79 / $96.79 / $96.79	Professional	80	$96.79	$96.79	$96.79
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.40 / $48.40 / $48.40	Professional	AS	$48.40	$48.40	$48.40
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