Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $9,120.11 / $15,488.17	Facility		$2,951.21	$9,120.11	$15,488.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,513.56 / $4,786.30 / $12,302.69	Facility		$1,513.56	$4,786.30	$12,302.69
CareSource Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $851.14 / $1,148.15	Facility		$660.69	$851.14	$1,148.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $1,023.29 / $9,772.37	Facility		$501.19	$1,023.29	$9,772.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $776.25 / $1,548.82	Professional		$602.56	$776.25	$1,548.82
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,698.24 / $1,698.24 / $2,137.96	Professional	22	$1,698.24	$1,698.24	$2,137.96
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $44.67 / $44.67 / $57.54	Professional	80	$44.67	$44.67	$57.54
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.39 / $22.39 / $28.84	Professional	AS	$22.39	$22.39	$28.84
United Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $6,309.57 / $15,848.93	Facility		$870.96	$6,309.57	$15,848.93