Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,313.83 / $8,287.20 / $14,497.00	Facility		$2,313.83	$8,287.20	$14,497.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,732.27 / $6,755.86 / $17,687.80	Facility		$1,732.27	$6,755.86	$17,687.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,482.83 / $2,726.00 / $4,186.34	Facility		$2,482.83	$2,726.00	$4,186.34
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 $1,300.61 / $1,690.81 / $4,807.10	Professional		$1,300.61	$1,690.81	$4,807.10
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,202.54 / $3,202.54 / $3,202.54	Professional	22	$3,202.54	$3,202.54	$3,202.54
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $85.40 / $85.40 / $85.40	Professional	80	$85.40	$85.40	$85.40
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.70 / $42.70 / $42.70	Professional	AS	$42.70	$42.70	$42.70
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00