Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,399.19 / $4,592.00 / $6,915.00	Facility		$1,399.19	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,353.62 / $1,630.47 / $2,217.92	Facility		$1,353.62	$1,630.47	$2,217.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $883.12 / $883.12 / $12,997.48	Facility		$883.12	$883.12	$12,997.48
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.84 / $87.84 / $87.84	Facility	AS	$87.84	$87.84	$87.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $851.44 / $1,238.46 / $2,029.80	Professional		$851.44	$1,238.46	$2,029.80
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,302.46 / $2,302.46 / $2,302.46	Professional	22	$2,302.46	$2,302.46	$2,302.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.40 / $61.40 / $61.40	Professional	80	$61.40	$61.40	$61.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.70 / $30.70 / $30.70	Professional	AS	$30.70	$30.70	$30.70
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