Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,338.00 / $9,323.29 / $14,497.00	Facility		$4,338.00	$9,323.29	$14,497.00
Aetna Facility/Professional Facility Modifier 22 Low / Median / High Price $5,935.00 / $5,935.00 / $5,935.00	Facility	22	$5,935.00	$5,935.00	$5,935.00
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 $1,199.67 / $1,615.00 / $1,788.03	Facility		$1,199.67	$1,615.00	$1,788.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6,184.57 / $14,959.00 / $24,659.00	Facility		$6,184.57	$14,959.00	$24,659.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,199.67 / $1,559.57 / $7,210.11	Professional		$1,199.67	$1,559.57	$7,210.11
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,628.01 / $3,628.01 / $3,628.01	Professional	22	$3,628.01	$3,628.01	$3,628.01
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $96.75 / $96.75 / $96.75	Professional	80	$96.75	$96.75	$96.75
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $48.37 / $48.37 / $48.37	Professional	AS	$48.37	$48.37	$48.37
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