Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,251.40 / $5,063.00 / $9,488.00	Facility		$1,251.40	$5,063.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,516.40 / $12,227.65	Facility		$1,206.01	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,318.17 / $1,589.40 / $2,162.06	Facility		$1,318.17	$1,589.40	$2,162.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $858.91 / $858.91 / $4,830.16	Facility		$858.91	$858.91	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $85.34 / $85.34 / $85.34	Facility	AS	$85.34	$85.34	$85.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.99 / $1,182.74 / $1,960.37	Professional		$829.99	$1,182.74	$1,960.37
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,244.48 / $2,244.48 / $2,244.48	Professional	22	$2,244.48	$2,244.48	$2,244.48
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.85 / $59.85 / $59.85	Professional	80	$59.85	$59.85	$59.85
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.93 / $29.93 / $29.93	Professional	AS	$29.93	$29.93	$29.93
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