Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,256.26 / $6,014.00 / $12,464.00	Facility		$2,256.26	$6,014.00	$12,464.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $15,318.85 / $55,752.34	Facility		$1,282.27	$15,318.85	$55,752.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,358.67 / $2,358.67 / $2,358.67	Facility		$2,358.67	$2,358.67	$2,358.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,815.20 / $5,845.00 / $9,852.00	Facility		$1,815.20	$5,845.00	$9,852.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $180.56 / $180.56 / $180.56	Facility	AS	$180.56	$180.56	$180.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,770.38 / $2,704.61 / $5,147.64	Professional		$1,770.38	$2,704.61	$5,147.64
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $127.66 / $127.66 / $127.66	Professional	80	$127.66	$127.66	$127.66
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $63.83 / $63.83 / $63.83	Professional	AS	$63.83	$63.83	$63.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $25,511.00	Facility		$2,303.00	$10,133.00	$25,511.00