Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,234.01 / $5,045.00 / $7,421.00	Facility		$1,234.01	$5,045.00	$7,421.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $617.01 / $954.96 / $1,174.97	Facility	52	$617.01	$954.96	$1,174.97
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 $1,803.71 / $1,803.71 / $1,803.71	Facility		$1,803.71	$1,803.71	$1,803.71
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 $1,108.61 / $1,108.61 / $1,108.61	Facility	52	$1,108.61	$1,108.61	$1,108.61
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $138.58 / $138.58 / $138.58	Facility	AS	$138.58	$138.58	$138.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,227.49 / $1,595.74 / $2,873.68	Professional		$1,227.49	$1,595.74	$2,873.68
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,448.42 / $3,448.42 / $4,401.82	Professional	22	$3,448.42	$3,448.42	$4,401.82
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $1,005.79 / $1,005.79 / $1,283.85	Professional	52	$1,005.79	$1,005.79	$1,283.85
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $91.96 / $91.96 / $117.38	Professional	80	$91.96	$91.96	$117.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $45.98 / $45.98 / $58.69	Professional	AS	$45.98	$45.98	$58.69
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