Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.00 / $5,063.00 / $7,421.00	Facility		$1,374.00	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $4,096.78 / $21,657.35	Facility		$1,063.95	$4,096.78	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,359.94 / $1,359.94 / $1,359.94	Facility		$1,359.94	$1,359.94	$1,359.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,110.36 / $2,500.00	Facility		$500.00	$1,110.36	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $110.17 / $110.17 / $110.17	Facility	AS	$110.17	$110.17	$110.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,078.83 / $1,623.17 / $2,547.69	Professional		$1,078.83	$1,623.17	$2,547.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.90 / $38.90 / $38.90	Professional	AS	$38.90	$38.90	$38.90
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00