Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,335.86 / $5,063.00 / $7,631.00	Facility		$1,335.86	$5,063.00	$7,631.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $667.93 / $1,040.33 / $1,269.57	Facility	52	$667.93	$1,040.33	$1,269.57
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 $1,969.92 / $1,969.92 / $1,969.92	Facility		$1,969.92	$1,969.92	$1,969.92
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 52 Low / Median / High Price $1,198.39 / $1,198.39 / $1,198.39	Facility	52	$1,198.39	$1,198.39	$1,198.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $149.80 / $149.80 / $149.80	Facility	AS	$149.80	$149.80	$149.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.76 / $1,724.79 / $3,229.82	Professional		$1,326.76	$1,724.79	$3,229.82
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,727.30 / $3,727.30 / $4,757.78	Professional	22	$3,727.30	$3,727.30	$4,757.78
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,087.13 / $1,087.13 / $1,387.69	Professional	52	$1,087.13	$1,087.13	$1,387.69
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $99.39 / $99.39 / $126.87	Professional	80	$99.39	$99.39	$126.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $49.70 / $49.70 / $63.44	Professional	AS	$49.70	$49.70	$63.44
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