Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $5,045.00 / $11,079.13	Facility		$1,791.00	$5,045.00	$11,079.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,331.12 / $1,604.87 / $2,183.10	Facility		$1,331.12	$1,604.87	$2,183.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $867.84 / $867.84 / $6,283.76	Facility		$867.84	$867.84	$6,283.76
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.46 / $86.46 / $86.46	Facility	AS	$86.46	$86.46	$86.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $838.08 / $1,219.02 / $2,253.92	Professional		$838.08	$1,219.02	$2,253.92
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,266.32 / $2,266.32 / $2,266.32	Professional	22	$2,266.32	$2,266.32	$2,266.32
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $60.44 / $60.44 / $60.44	Professional	80	$60.44	$60.44	$60.44
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.22 / $30.22 / $30.22	Professional	AS	$30.22	$30.22	$30.22
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