Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $788.17 / $4,829.00 / $6,915.00	Facility		$788.17	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $881.88 / $1,070.64 / $1,456.38	Facility		$881.88	$1,070.64	$1,456.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $579.54 / $579.54 / $2,172.58	Facility		$579.54	$579.54	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.49 / $57.49 / $57.49	Facility	AS	$57.49	$57.49	$57.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $559.10 / $842.90 / $1,435.37	Professional		$559.10	$842.90	$1,435.37
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.16 / $20.16 / $20.16	Professional	AS	$20.16	$20.16	$20.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00