Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,144.00 / $5,758.00 / $13,358.51	Facility		$2,144.00	$5,758.00	$13,358.51
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,126.00 / $7,278.00 / $17,326.18	Facility	50	$4,126.00	$7,278.00	$17,326.18
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,680.00 / $5,538.97 / $12,227.65	Facility		$1,680.00	$5,538.97	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $964.26 / $1,337.48 / $2,285.85	Facility		$964.26	$1,337.48	$2,285.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,043.79 / $6,918.00 / $10,047.00	Facility		$1,043.79	$6,918.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.83 / $103.83 / $103.83	Facility	AS	$103.83	$103.83	$103.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,060.76 / $1,558.86 / $4,619.50	Professional		$1,060.76	$1,558.86	$4,619.50
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,201.05 / $3,201.05 / $3,201.05	Professional	22	$3,201.05	$3,201.05	$3,201.05
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $85.36 / $85.36 / $85.36	Professional	80	$85.36	$85.36	$85.36
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $42.68 / $42.68 / $42.68	Professional	AS	$42.68	$42.68	$42.68
United Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $9,576.00 / $18,613.00	Facility		$2,725.00	$9,576.00	$18,613.00