Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,048.52 / $6,726.00 / $14,497.00	Facility		$2,048.52	$6,726.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,727.23 / $2,727.23 / $2,727.23	Facility		$2,727.23	$2,727.23	$2,727.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $625.00 / $2,052.10	Facility		$200.00	$625.00	$2,052.10
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $200.73 / $200.73 / $200.73	Facility	AS	$200.73	$200.73	$200.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,772.06 / $2,303.67 / $4,148.60	Professional		$1,772.06	$2,303.67	$4,148.60
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,978.33 / $4,978.33 / $6,354.68	Professional	22	$4,978.33	$4,978.33	$6,354.68
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $132.76 / $132.76 / $169.46	Professional	80	$132.76	$132.76	$169.46
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $66.38 / $66.38 / $84.73	Professional	AS	$66.38	$66.38	$84.73
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