Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,100.24 / $5,045.00 / $7,421.00	Facility		$1,100.24	$5,045.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,452.28 / $1,452.28 / $1,452.28	Facility		$1,452.28	$1,452.28	$1,452.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $128.44 / $128.44 / $128.44	Facility	AS	$128.44	$128.44	$128.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,138.76 / $1,480.39 / $2,164.15	Professional		$1,138.76	$1,480.39	$2,164.15
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,596.98 / $2,596.98 / $4,610.57	Professional	22	$2,596.98	$2,596.98	$4,610.57
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.25 / $69.25 / $122.95	Professional	80	$69.25	$69.25	$122.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.63 / $34.63 / $61.47	Professional	AS	$34.63	$34.63	$61.47
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00