Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,145.01 / $6,654.00 / $12,902.00	Facility		$2,145.01	$6,654.00	$12,902.00
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 $2,494.83 / $2,740.73 / $4,208.99	Facility		$2,494.83	$2,740.73	$4,208.99
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 $1,306.91 / $1,698.98 / $3,260.05	Professional		$1,306.91	$1,698.98	$3,260.05
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,218.00 / $3,218.00 / $3,218.00	Professional	22	$3,218.00	$3,218.00	$3,218.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $85.81 / $85.81 / $85.81	Professional	80	$85.81	$85.81	$85.81
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.91 / $42.91 / $42.91	Professional	AS	$42.91	$42.91	$42.91
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