Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,738.36 / $6,726.00 / $13,676.00	Facility		$1,738.36	$6,726.00	$13,676.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.04 / $4,124.72 / $9,097.42	Facility		$1,246.04	$4,124.72	$9,097.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,352.54 / $1,352.54 / $1,352.54	Facility		$1,352.54	$1,352.54	$1,352.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $750.00 / $1,233.00	Facility		$200.00	$750.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $102.97 / $102.97 / $102.97	Facility	AS	$102.97	$102.97	$102.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $913.74 / $1,187.85 / $2,502.39	Professional		$913.74	$1,187.85	$2,502.39
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,567.00 / $2,567.00 / $3,276.71	Professional	22	$2,567.00	$2,567.00	$3,276.71
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $68.45 / $68.45 / $87.38	Professional	80	$68.45	$68.45	$87.38
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $34.22 / $34.22 / $43.69	Professional	AS	$34.22	$34.22	$43.69
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00