Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,064.15 / $4,592.00 / $6,915.00	Facility		$1,064.15	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.32 / $1,547.18 / $2,104.62	Facility		$1,282.32	$1,547.18	$2,104.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $836.22 / $836.22 / $2,172.58	Facility		$836.22	$836.22	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $83.10 / $83.10 / $83.10	Facility	AS	$83.10	$83.10	$83.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $807.95 / $1,148.83 / $1,820.69	Professional		$807.95	$1,148.83	$1,820.69
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,184.83 / $2,184.83 / $2,184.83	Professional	22	$2,184.83	$2,184.83	$2,184.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $58.26 / $58.26 / $58.26	Professional	80	$58.26	$58.26	$58.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.13 / $29.13 / $29.13	Professional	AS	$29.13	$29.13	$29.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00