Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,757.31 / $5,045.00 / $6,915.00	Facility		$1,757.31	$5,045.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $878.66 / $1,146.51 / $1,675.64	Facility	52	$878.66	$1,146.51	$1,675.64
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 $2,484.28 / $2,484.28 / $2,484.28	Facility		$2,484.28	$2,484.28	$2,484.28
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 $1,570.62 / $1,570.62 / $1,570.62	Facility	52	$1,570.62	$1,570.62	$1,570.62
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $196.33 / $196.33 / $196.33	Facility	AS	$196.33	$196.33	$196.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,736.96 / $2,258.05 / $4,060.29	Professional		$1,736.96	$2,258.05	$4,060.29
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,879.68 / $4,879.68 / $6,228.78	Professional	22	$4,879.68	$4,879.68	$6,228.78
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,423.24 / $1,423.24 / $1,816.73	Professional	52	$1,423.24	$1,423.24	$1,816.73
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $130.13 / $130.13 / $166.10	Professional	80	$130.13	$130.13	$166.10
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $65.06 / $65.06 / $83.05	Professional	AS	$65.06	$65.06	$83.05
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