Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.29 / $3,360.00 / $6,915.00	Facility		$296.29	$3,360.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $279.89 / $279.89 / $279.89	Facility		$279.89	$279.89	$279.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $189.31 / $189.31 / $2,500.00	Facility		$189.31	$189.31	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $18.57 / $18.57 / $18.57	Facility	AS	$18.57	$18.57	$18.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.11 / $279.77 / $781.98	Professional		$182.11	$279.77	$781.98
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $25.02 / $25.02 / $25.02	Professional	80	$25.02	$25.02	$25.02
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.51 / $12.51 / $12.51	Professional	AS	$12.51	$12.51	$12.51
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