Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,352.75 / $5,063.00 / $10,897.00	Facility		$1,352.75	$5,063.00	$10,897.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,435.54 / $12,227.65	Facility		$1,206.01	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,354.37 / $1,631.72 / $2,219.61	Facility		$1,354.37	$1,631.72	$2,219.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $881.98 / $881.98 / $4,830.16	Facility		$881.98	$881.98	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $87.65 / $87.65 / $87.65	Facility	AS	$87.65	$87.65	$87.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $852.09 / $1,309.11 / $2,120.65	Professional		$852.09	$1,309.11	$2,120.65
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $61.45 / $61.45 / $61.45	Professional	80	$61.45	$61.45	$61.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.72 / $30.72 / $30.72	Professional	AS	$30.72	$30.72	$30.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,845.00 / $7,357.00 / $11,889.00	Facility		$2,845.00	$7,357.00	$11,889.00