Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,206.08 / $4,613.00 / $6,915.00	Facility		$1,206.08	$4,613.00	$6,915.00
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 $1,186.36 / $1,436.51 / $2,143.42	Facility		$1,186.36	$1,436.51	$2,143.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $777.08 / $777.08 / $6,605.90	Facility		$777.08	$777.08	$6,605.90
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.84 / $76.84 / $76.84	Facility	AS	$76.84	$76.84	$76.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.16 / $1,140.27 / $2,109.23	Professional		$750.16	$1,140.27	$2,109.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.05 / $27.05 / $27.05	Professional	AS	$27.05	$27.05	$27.05
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00