Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,984.49 / $5,045.00 / $7,631.00	Facility		$1,984.49	$5,045.00	$7,631.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,206.31 / $5,656.86 / $12,326.53	Facility		$2,206.31	$5,656.86	$12,326.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,074.33 / $2,074.33 / $2,074.33	Facility		$2,074.33	$2,074.33	$2,074.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,567.52 / $57,200.00	Facility		$500.00	$1,567.52	$57,200.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $155.62 / $155.62 / $155.62	Facility	AS	$155.62	$155.62	$155.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,591.68 / $2,214.51 / $4,153.06	Professional		$1,591.68	$2,214.51	$4,153.06
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $4,803.20 / $4,803.20 / $4,803.20	Professional	22	$4,803.20	$4,803.20	$4,803.20
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $128.09 / $128.09 / $128.09	Professional	80	$128.09	$128.09	$128.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $64.04 / $64.04 / $64.04	Professional	AS	$64.04	$64.04	$64.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00