Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,123.40 / $6,760.00 / $14,490.00	Facility		$2,123.40	$6,760.00	$14,490.00
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 $2,246.16 / $2,460.62 / $3,778.80	Facility		$2,246.16	$2,460.62	$3,778.80
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 $1,176.64 / $1,529.63 / $2,778.60	Professional		$1,176.64	$1,529.63	$2,778.60
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,897.24 / $2,897.24 / $2,897.24	Professional	22	$2,897.24	$2,897.24	$2,897.24
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $77.26 / $77.26 / $77.26	Professional	80	$77.26	$77.26	$77.26
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.63 / $38.63 / $38.63	Professional	AS	$38.63	$38.63	$38.63
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