Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,587.90 / $5,045.00 / $7,631.00	Facility		$1,587.90	$5,045.00	$7,631.00
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 $2,303.25 / $2,303.25 / $2,303.25	Facility		$2,303.25	$2,303.25	$2,303.25
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 $178.17 / $178.17 / $178.17	Facility	AS	$178.17	$178.17	$178.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,577.16 / $2,007.69 / $3,692.31	Professional		$1,577.16	$2,007.69	$3,692.31
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,430.77 / $4,430.77 / $5,655.74	Professional	22	$4,430.77	$4,430.77	$5,655.74
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $118.15 / $118.15 / $150.82	Professional	80	$118.15	$118.15	$150.82
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $59.08 / $59.08 / $75.41	Professional	AS	$59.08	$59.08	$75.41
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