Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,313.96 / $9,499.00 / $14,063.10	Facility		$2,313.96	$9,499.00	$14,063.10
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,772.72 / $3,038.58 / $4,666.38	Facility		$2,772.72	$3,038.58	$4,666.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $7,258.00 / $10,047.00	Facility		$4,186.00	$7,258.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,452.47 / $1,888.21 / $3,910.13	Professional		$1,452.47	$1,888.21	$3,910.13
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,576.42 / $3,576.42 / $3,576.42	Professional	22	$3,576.42	$3,576.42	$3,576.42
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $95.37 / $95.37 / $95.37	Professional	80	$95.37	$95.37	$95.37
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $47.69 / $47.69 / $47.69	Professional	AS	$47.69	$47.69	$47.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00