Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,250.47 / $6,915.00 / $14,497.00	Facility		$4,250.47	$6,915.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6,263.67 / $6,263.67 / $6,263.67	Facility		$6,263.67	$6,263.67	$6,263.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,829.00	Facility		$400.00	$703.00	$9,829.00
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $2,448.96 / $2,448.96 / $2,448.96	Facility	62	$2,448.96	$2,448.96	$2,448.96
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $391.83 / $391.83 / $391.83	Facility	AS	$391.83	$391.83	$391.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,467.17 / $4,507.32 / $10,762.00	Professional		$3,467.17	$4,507.32	$10,762.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $9,740.42 / $9,740.42 / $12,433.38	Professional	22	$9,740.42	$9,740.42	$12,433.38
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $3,043.88 / $3,043.88 / $3,885.43	Professional	62	$3,043.88	$3,043.88	$3,885.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $129.87 / $129.87 / $165.78	Professional	AS	$129.87	$129.87	$165.78
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