Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,105.51 / $5,063.00 / $6,915.00	Facility		$3,105.51	$5,063.00	$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 $4,567.58 / $4,567.58 / $4,567.58	Facility		$4,567.58	$4,567.58	$4,567.58
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 62 Low / Median / High Price $2,171.67 / $2,171.67 / $2,171.67	Facility	62	$2,171.67	$2,171.67	$2,171.67
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $347.47 / $347.47 / $347.47	Facility	AS	$347.47	$347.47	$347.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,078.05 / $4,001.47 / $7,287.49	Professional		$3,078.05	$4,001.47	$7,287.49
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $11,037.98 / $11,902.72 / $11,902.72	Professional	22	$11,037.98	$11,902.72	$11,902.72
Kaiser Permanente Facility/Professional Professional Modifier 62 Low / Median / High Price $3,449.37 / $3,719.60 / $3,719.60	Professional	62	$3,449.37	$3,719.60	$3,719.60
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $294.35 / $317.41 / $317.41	Professional	80	$294.35	$317.41	$317.41
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $147.16 / $158.69 / $158.69	Professional	AS	$147.16	$158.69	$158.69
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