Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,089.92 / $6,726.00 / $13,676.00	Facility		$2,089.92	$6,726.00	$13,676.00
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 $2,253.81 / $2,473.13 / $3,798.02	Facility		$2,253.81	$2,473.13	$3,798.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $31,200.00	Facility		$550.00	$550.00	$31,200.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,180.64 / $1,534.83 / $2,592.21	Professional		$1,180.64	$1,534.83	$2,592.21
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,565.52 / $4,565.52 / $4,565.52	Professional	22	$4,565.52	$4,565.52	$4,565.52
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $121.75 / $121.75 / $121.75	Professional	80	$121.75	$121.75	$121.75
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.87 / $60.87 / $60.87	Professional	AS	$60.87	$60.87	$60.87
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00