Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.69 / $5,664.00 / $9,023.00	Facility		$2,279.69	$5,664.00	$9,023.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $55,752.34	Facility		$2,361.69	$9,558.66	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,659.65 / $2,659.65 / $2,659.65	Facility		$2,659.65	$2,659.65	$2,659.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,043.18 / $2,500.00	Facility		$500.00	$2,043.18	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $202.55 / $202.55 / $202.55	Facility	AS	$202.55	$202.55	$202.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,975.68 / $3,035.36 / $6,647.53	Professional		$1,975.68	$3,035.36	$6,647.53
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $71.23 / $71.23 / $71.23	Professional	AS	$71.23	$71.23	$71.23
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00