Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,361.97 / $6,524.00 / $9,512.00	Facility		$1,361.97	$6,524.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,657.52 / $4,977.25 / $10,832.53	Facility		$1,657.52	$4,977.25	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,723.28 / $1,876.77 / $2,882.19	Facility		$1,723.28	$1,876.77	$2,882.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $3,388.37 / $3,388.37	Facility		$3,388.37	$3,388.37	$3,388.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.73 / $1,173.55 / $2,191.85	Professional		$902.73	$1,173.55	$2,191.85
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $56.09 / $56.09 / $56.09	Professional	80	$56.09	$56.09	$56.09
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.05 / $28.05 / $28.05	Professional	AS	$28.05	$28.05	$28.05
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