Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,558.47 / $5,045.00 / $6,915.00	Facility		$1,558.47	$5,045.00	$6,915.00
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 $2,264.00 / $2,264.00 / $2,264.00	Facility		$2,264.00	$2,264.00	$2,264.00
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 $175.15 / $175.15 / $175.15	Facility	AS	$175.15	$175.15	$175.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,552.42 / $2,018.15 / $3,640.75	Professional		$1,552.42	$2,018.15	$3,640.75
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $7,029.37 / $7,029.37 / $9,415.26	Professional	22	$7,029.37	$7,029.37	$9,415.26
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $187.45 / $187.45 / $251.07	Professional	80	$187.45	$187.45	$251.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $93.72 / $93.72 / $125.54	Professional	AS	$93.72	$93.72	$125.54
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