Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,700.13 / $5,595.00 / $9,023.00	Facility		$1,700.13	$5,595.00	$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 $2,453.34 / $2,453.34 / $2,453.34	Facility		$2,453.34	$2,453.34	$2,453.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,888.69 / $2,500.00	Facility		$500.00	$1,888.69	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $187.04 / $187.04 / $187.04	Facility	AS	$187.04	$187.04	$187.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,824.74 / $2,803.46 / $6,222.31	Professional		$1,824.74	$2,803.46	$6,222.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $65.79 / $65.79 / $65.79	Professional	AS	$65.79	$65.79	$65.79
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