Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,880.06 / $5,690.00 / $14,497.00	Facility		$1,880.06	$5,690.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,120.04 / $17,035.45	Facility		$875.00	$5,120.04	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,766.92 / $1,766.92 / $1,766.92	Facility		$1,766.92	$1,766.92	$1,766.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.00 / $1,372.04	Facility		$200.00	$625.00	$1,372.04
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $135.26 / $135.26 / $135.26	Facility	AS	$135.26	$135.26	$135.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,193.02 / $1,550.93 / $3,428.22	Professional		$1,193.02	$1,550.93	$3,428.22
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,351.60 / $3,351.60 / $4,278.22	Professional	22	$3,351.60	$3,351.60	$4,278.22
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $89.38 / $89.38 / $114.09	Professional	80	$89.38	$89.38	$114.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.69 / $44.69 / $57.04	Professional	AS	$44.69	$44.69	$57.04
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