Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,393.57 / $5,595.00 / $9,512.00	Facility		$1,393.57	$5,595.00	$9,512.00
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 $2,062.28 / $2,426.21 / $3,348.45	Facility		$2,062.28	$2,426.21	$3,348.45
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 $132.97 / $132.97 / $132.97	Facility	AS	$132.97	$132.97	$132.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,168.58 / $1,519.17 / $3,290.96	Professional		$1,168.58	$1,519.17	$3,290.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,282.96 / $3,282.96 / $4,190.58	Professional	22	$3,282.96	$3,282.96	$4,190.58
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $87.55 / $87.55 / $111.75	Professional	80	$87.55	$87.55	$111.75
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.77 / $43.77 / $55.87	Professional	AS	$43.77	$43.77	$55.87
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