Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,585.09 / $5,063.00 / $7,631.00	Facility		$1,585.09	$5,063.00	$7,631.00
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 $2,380.88 / $2,380.88 / $2,380.88	Facility		$2,380.88	$2,380.88	$2,380.88
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 $176.72 / $176.72 / $176.72	Facility	AS	$176.72	$176.72	$176.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,563.03 / $2,031.94 / $3,659.22	Professional		$1,563.03	$2,031.94	$3,659.22
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,391.06 / $4,391.06 / $5,605.07	Professional	22	$4,391.06	$4,391.06	$5,605.07
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $117.10 / $117.10 / $149.47	Professional	80	$117.10	$117.10	$149.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $58.55 / $58.55 / $74.73	Professional	AS	$58.55	$58.55	$74.73
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