Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,334.18 / $4,613.00 / $7,553.10	Facility		$1,334.18	$4,613.00	$7,553.10
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 $1,505.94 / $1,824.12 / $2,481.35	Facility		$1,505.94	$1,824.12	$2,481.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $987.25 / $987.25 / $6,340.02	Facility		$987.25	$987.25	$6,340.02
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $98.72 / $98.72 / $98.72	Facility	AS	$98.72	$98.72	$98.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $952.57 / $1,385.55 / $2,309.71	Professional		$952.57	$1,385.55	$2,309.71
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,575.92 / $2,575.92 / $2,575.92	Professional	22	$2,575.92	$2,575.92	$2,575.92
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $68.69 / $68.69 / $68.69	Professional	80	$68.69	$68.69	$68.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.35 / $34.35 / $34.35	Professional	AS	$34.35	$34.35	$34.35
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