Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,093.64 / $5,045.00 / $6,915.00	Facility		$2,093.64	$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 $3,011.01 / $3,011.01 / $3,011.01	Facility		$3,011.01	$3,011.01	$3,011.01
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 $233.27 / $233.27 / $233.27	Facility	AS	$233.27	$233.27	$233.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,060.94 / $2,679.24 / $4,824.93	Professional		$2,060.94	$2,679.24	$4,824.93
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $5,789.92 / $5,789.92 / $7,390.68	Professional	22	$5,789.92	$5,789.92	$7,390.68
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $154.40 / $154.40 / $197.08	Professional	80	$154.40	$154.40	$197.08
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $77.20 / $77.20 / $98.54	Professional	AS	$77.20	$77.20	$98.54
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