Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,003.64 / $4,592.00 / $6,915.00	Facility		$1,003.64	$4,592.00	$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 $1,481.35 / $1,481.35 / $1,481.35	Facility		$1,481.35	$1,481.35	$1,481.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,147.16	Facility		$200.00	$617.00	$1,147.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $112.52 / $112.52 / $112.52	Facility	AS	$112.52	$112.52	$112.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.96 / $1,290.84 / $2,324.64	Professional		$992.96	$1,290.84	$2,324.64
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,789.57 / $2,789.57 / $3,560.81	Professional	22	$2,789.57	$2,789.57	$3,560.81
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.39 / $74.39 / $94.95	Professional	80	$74.39	$74.39	$94.95
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.19 / $37.19 / $47.48	Professional	AS	$37.19	$37.19	$47.48
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