Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,285.28 / $6,439.00 / $14,497.00	Facility		$2,285.28	$6,439.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.00 / $5,136.49 / $17,035.45	Facility		$875.00	$5,136.49	$17,035.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,040.33 / $2,040.33 / $2,040.33	Facility		$2,040.33	$2,040.33	$2,040.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,576.70	Facility		$200.00	$617.00	$1,576.70
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $154.72 / $154.72 / $154.72	Facility	AS	$154.72	$154.72	$154.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,370.62 / $1,781.81 / $3,208.76	Professional		$1,370.62	$1,781.81	$3,208.76
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,850.51 / $3,850.51 / $4,915.07	Professional	22	$3,850.51	$3,850.51	$4,915.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $102.68 / $102.68 / $131.07	Professional	80	$102.68	$102.68	$131.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $51.34 / $51.34 / $65.53	Professional	AS	$51.34	$51.34	$65.53
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $5,664.00 / $11,889.00	Facility		$741.00	$5,664.00	$11,889.00