Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,514.36 / $5,063.00 / $7,391.00	Facility		$1,514.36	$5,063.00	$7,391.00
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 $1,421.48 / $1,421.48 / $1,421.48	Facility		$1,421.48	$1,421.48	$1,421.48
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 $126.27 / $126.27 / $126.27	Facility	AS	$126.27	$126.27	$126.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,120.02 / $1,456.03 / $2,282.96	Professional		$1,120.02	$1,456.03	$2,282.96
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,146.54 / $3,146.54 / $4,016.46	Professional	22	$3,146.54	$3,146.54	$4,016.46
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $83.91 / $83.91 / $107.11	Professional	80	$83.91	$83.91	$107.11
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $41.95 / $41.95 / $53.55	Professional	AS	$41.95	$41.95	$53.55
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