Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.52 / $5,045.00 / $7,421.00	Facility		$1,032.52	$5,045.00	$7,421.00
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 $1,526.28 / $1,526.28 / $1,526.28	Facility		$1,526.28	$1,526.28	$1,526.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,181.39	Facility		$200.00	$617.00	$1,181.39
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $115.95 / $115.95 / $115.95	Facility	AS	$115.95	$115.95	$115.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,025.76 / $1,333.49 / $2,401.41	Professional		$1,025.76	$1,333.49	$2,401.41
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,881.69 / $2,881.69 / $3,678.40	Professional	22	$2,881.69	$2,881.69	$3,678.40
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $76.84 / $76.84 / $98.09	Professional	80	$76.84	$76.84	$98.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.42 / $38.42 / $49.05	Professional	AS	$38.42	$38.42	$49.05
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