Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,311.52 / $6,014.00 / $11,445.00	Facility		$1,311.52	$6,014.00	$11,445.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,329.46 / $7,591.82 / $35,926.56	Facility		$2,329.46	$7,591.82	$35,926.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,249.96 / $1,249.96 / $1,249.96	Facility		$1,249.96	$1,249.96	$1,249.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $960.09 / $7,258.00 / $24,908.15	Facility		$960.09	$7,258.00	$24,908.15
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $95.44 / $95.44 / $95.44	Facility	AS	$95.44	$95.44	$95.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $976.95 / $1,359.23 / $2,456.80	Professional		$976.95	$1,359.23	$2,456.80
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,948.16 / $2,948.16 / $2,948.16	Professional	22	$2,948.16	$2,948.16	$2,948.16
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $78.62 / $78.62 / $78.62	Professional	80	$78.62	$78.62	$78.62
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $39.31 / $39.31 / $39.31	Professional	AS	$39.31	$39.31	$39.31
United Facility/Professional Facility Modifier Low / Median / High Price $3,800.00 / $10,336.00 / $40,000.00	Facility		$3,800.00	$10,336.00	$40,000.00