Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.51 / $4,799.00 / $6,915.00	Facility		$1,194.51	$4,799.00	$6,915.00
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 $1,733.43 / $1,733.43 / $1,733.43	Facility		$1,733.43	$1,733.43	$1,733.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,233.00	Facility		$200.00	$617.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $134.03 / $134.03 / $134.03	Facility	AS	$134.03	$134.03	$134.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,185.75 / $1,541.48 / $2,775.99	Professional		$1,185.75	$1,541.48	$2,775.99
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,331.19 / $3,331.19 / $4,252.14	Professional	22	$3,331.19	$3,331.19	$4,252.14
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $88.83 / $88.83 / $113.39	Professional	80	$88.83	$88.83	$113.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $44.42 / $44.42 / $56.70	Professional	AS	$44.42	$44.42	$56.70
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