Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,309.53 / $5,045.00 / $6,915.00	Facility		$1,309.53	$5,045.00	$6,915.00
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 $1,784.52 / $1,784.52 / $1,784.52	Facility		$1,784.52	$1,784.52	$1,784.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $146.97 / $146.97 / $146.97	Facility	AS	$146.97	$146.97	$146.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,303.92 / $1,695.10 / $2,968.73	Professional		$1,303.92	$1,695.10	$2,968.73
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,390.96 / $7,390.96 / $9,868.95	Professional	22	$7,390.96	$7,390.96	$9,868.95
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $197.09 / $197.09 / $263.17	Professional	80	$197.09	$197.09	$263.17
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $98.55 / $98.55 / $131.59	Professional	AS	$98.55	$98.55	$131.59
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