Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,928.63 / $9,211.74 / $14,847.00	Facility		$2,928.63	$9,211.74	$14,847.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,246.04 / $4,405.96 / $13,343.88	Facility		$1,246.04	$4,405.96	$13,343.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $600.54 / $806.74 / $960.88	Facility		$600.54	$806.74	$960.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $833.00 / $9,852.00	Facility		$400.00	$833.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $67.78 / $67.78 / $67.78	Facility	AS	$67.78	$67.78	$67.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.54 / $780.72 / $1,405.95	Professional		$600.54	$780.72	$1,405.95
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,687.14 / $1,687.14 / $2,153.59	Professional	22	$1,687.14	$1,687.14	$2,153.59
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $44.99 / $44.99 / $57.43	Professional	80	$44.99	$44.99	$57.43
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $22.50 / $22.50 / $28.71	Professional	AS	$22.50	$22.50	$28.71
United Facility/Professional Facility Modifier Low / Median / High Price $851.00 / $6,868.00 / $16,000.00	Facility		$851.00	$6,868.00	$16,000.00