Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $993.86 / $4,708.00 / $7,631.00	Facility		$993.86	$4,708.00	$7,631.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $5,237.29 / $9,084.00 / $11,446.50	Facility	50	$5,237.29	$9,084.00	$11,446.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $995.00 / $2,795.56 / $6,065.87	Facility		$995.00	$2,795.56	$6,065.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,119.00 / $1,316.48 / $1,811.85	Facility		$1,119.00	$1,316.48	$1,811.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $1,371.00 / $2,128.69	Facility		$512.00	$1,371.00	$2,128.69
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $71.36 / $71.36 / $71.36	Facility	AS	$71.36	$71.36	$71.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $632.32 / $822.02 / $1,465.88	Professional		$632.32	$822.02	$1,465.88
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,776.42 / $1,776.42 / $2,267.53	Professional	22	$1,776.42	$1,776.42	$2,267.53
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $47.37 / $47.37 / $60.47	Professional	80	$47.37	$47.37	$60.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.69 / $23.69 / $30.23	Professional	AS	$23.69	$23.69	$30.23
United Facility/Professional Facility Modifier Low / Median / High Price $651.00 / $4,666.00 / $8,516.00	Facility		$651.00	$4,666.00	$8,516.00