Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,439.17 / $6,014.00 / $9,417.60	Facility		$1,439.17	$6,014.00	$9,417.60
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 $1,358.42 / $1,358.42 / $1,358.42	Facility		$1,358.42	$1,358.42	$1,358.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,066.83	Facility		$200.00	$617.00	$1,066.83
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $104.84 / $104.84 / $104.84	Facility	AS	$104.84	$104.84	$104.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $929.54 / $1,208.40 / $2,176.15	Professional		$929.54	$1,208.40	$2,176.15
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,611.38 / $2,611.38 / $3,333.34	Professional	22	$2,611.38	$2,611.38	$3,333.34
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $69.64 / $69.64 / $88.89	Professional	80	$69.64	$69.64	$88.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.82 / $34.82 / $44.44	Professional	AS	$34.82	$34.82	$44.44
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