Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,808.86 / $6,155.00 / $9,488.00	Facility		$1,808.86	$6,155.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,012.00 / $3,392.46 / $7,513.42	Facility		$1,012.00	$3,392.46	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,840.26 / $2,165.01 / $2,991.59	Facility		$1,840.26	$2,165.01	$2,991.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,371.00 / $3,685.16	Facility		$512.00	$1,371.00	$3,685.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $118.93 / $118.93 / $118.93	Facility	AS	$118.93	$118.93	$118.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,044.05 / $1,357.27 / $2,840.33	Professional		$1,044.05	$1,357.27	$2,840.33
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,933.06 / $2,933.06 / $3,743.98	Professional	22	$2,933.06	$2,933.06	$3,743.98
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $78.22 / $78.22 / $99.84	Professional	80	$78.22	$78.22	$99.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.11 / $39.11 / $49.92	Professional	AS	$39.11	$39.11	$49.92
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00