Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $4,829.00 / $6,915.00	Facility		$809.75	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $787.47 / $787.47 / $787.47	Facility		$787.47	$787.47	$787.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.83 / $575.83 / $4,830.16	Facility		$575.83	$575.83	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.12 / $57.12 / $57.12	Facility	AS	$57.12	$57.12	$57.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $555.59 / $798.02 / $1,252.00	Professional		$555.59	$798.02	$1,252.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.03 / $20.03 / $20.03	Professional	AS	$20.03	$20.03	$20.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00