Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,896.00 / $7,812.00 / $14,497.00	Facility		$1,896.00	$7,812.00	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $4,381.00 / $13,343.88	Facility		$814.00	$4,381.00	$13,343.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,281.66 / $1,281.66 / $1,281.66	Facility		$1,281.66	$1,281.66	$1,281.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,273.81 / $5,431.00 / $9,353.00	Facility		$1,273.81	$5,431.00	$9,353.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $125.45 / $125.45 / $125.45	Facility	AS	$125.45	$125.45	$125.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,113.19 / $1,447.15 / $2,781.03	Professional		$1,113.19	$1,447.15	$2,781.03
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,127.32 / $3,127.32 / $3,991.92	Professional	22	$3,127.32	$3,127.32	$3,991.92
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $83.40 / $83.40 / $106.45	Professional	80	$83.40	$83.40	$106.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.70 / $41.70 / $53.23	Professional	AS	$41.70	$41.70	$53.23
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