Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $4,841.00 / $6,915.00	Facility		$1,458.00	$4,841.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $533.83 / $713.21 / $1,009.06	Facility	52	$533.83	$713.21	$1,009.06
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 $1,492.94 / $1,492.94 / $1,492.94	Facility		$1,492.94	$1,492.94	$1,492.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $703.00 / $9,829.00	Facility		$400.00	$703.00	$9,829.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $959.49 / $959.49 / $959.49	Facility	52	$959.49	$959.49	$959.49
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $119.94 / $119.94 / $119.94	Facility	AS	$119.94	$119.94	$119.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.83 / $1,384.29 / $2,461.63	Professional		$1,064.83	$1,384.29	$2,461.63
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,991.50 / $2,991.50 / $3,818.57	Professional	22	$2,991.50	$2,991.50	$3,818.57
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $872.52 / $872.52 / $1,113.75	Professional	52	$872.52	$872.52	$1,113.75
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $79.77 / $79.77 / $101.83	Professional	80	$79.77	$79.77	$101.83
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.89 / $39.89 / $50.91	Professional	AS	$39.89	$39.89	$50.91
United Facility/Professional Facility Modifier Low / Median / High Price $741.00 / $4,663.00 / $11,000.00	Facility		$741.00	$4,663.00	$11,000.00