Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,976.22 / $5,595.00 / $9,512.00	Facility		$1,976.22	$5,595.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,760.00 / $6,671.99 / $21,103.55	Facility		$1,760.00	$6,671.99	$21,103.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,529.17 / $3,028.46 / $4,119.60	Facility		$2,529.17	$3,028.46	$4,119.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,642.08 / $1,642.08 / $19,668.84	Facility		$1,642.08	$1,642.08	$19,668.84
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $162.59 / $162.59 / $162.59	Facility	AS	$162.59	$162.59	$162.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,581.49 / $2,429.75 / $3,563.84	Professional		$1,581.49	$2,429.75	$3,563.84
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $57.02 / $57.02 / $57.02	Professional	AS	$57.02	$57.02	$57.02
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