Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,989.00 / $5,664.00 / $9,023.00	Facility		$1,989.00	$5,664.00	$9,023.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,184.57 / $4,431.64 / $39,007.80	Facility		$1,184.57	$4,431.64	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,239.79 / $2,239.79 / $2,239.79	Facility		$2,239.79	$2,239.79	$2,239.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,724.24 / $2,500.00	Facility		$500.00	$1,724.24	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $171.46 / $171.46 / $171.46	Facility	AS	$171.46	$171.46	$171.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,676.47 / $2,547.77 / $3,777.88	Professional		$1,676.47	$2,547.77	$3,777.88
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $120.89 / $120.89 / $120.89	Professional	80	$120.89	$120.89	$120.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $60.45 / $60.45 / $60.45	Professional	AS	$60.45	$60.45	$60.45
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