Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,671.79 / $9,021.60 / $14,497.00	Facility		$2,671.79	$9,021.60	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $6,222.00 / $22,900.64	Facility		$875.00	$6,222.00	$22,900.64
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5,420.00 / $5,420.00 / $5,420.00	Facility		$5,420.00	$5,420.00	$5,420.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $750.00 / $9,375.00	Facility		$400.00	$750.00	$9,375.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $194.20 / $194.20 / $194.20	Facility	AS	$194.20	$194.20	$194.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,722.64 / $2,239.42 / $4,032.91	Professional		$1,722.64	$2,239.42	$4,032.91
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,839.49 / $4,839.49 / $6,177.46	Professional	22	$4,839.49	$4,839.49	$6,177.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $129.05 / $129.05 / $164.73	Professional	80	$129.05	$129.05	$164.73
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.53 / $64.53 / $82.37	Professional	AS	$64.53	$64.53	$82.37
United Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $7,002.00 / $20,361.00	Facility		$886.00	$7,002.00	$20,361.00