Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,095.83 / $5,063.00 / $6,915.00	Facility		$3,095.83	$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 $4,565.64 / $4,565.64 / $4,565.64	Facility		$4,565.64	$4,565.64	$4,565.64
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 $346.01 / $346.01 / $346.01	Facility	AS	$346.01	$346.01	$346.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $3,060.82 / $3,979.07 / $7,165.73	Professional		$3,060.82	$3,979.07	$7,165.73
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $8,598.87 / $8,598.87 / $10,976.20	Professional	22	$8,598.87	$8,598.87	$10,976.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $229.30 / $229.30 / $292.70	Professional	80	$229.30	$229.30	$292.70
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $114.65 / $114.65 / $146.35	Professional	AS	$114.65	$114.65	$146.35
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