Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $5,045.00 / $8,331.00	Facility		$933.25	$5,045.00	$8,331.00
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 $1,082.08 / $1,082.08 / $1,082.08	Facility		$1,082.08	$1,082.08	$1,082.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $793.36 / $793.36 / $2,172.58	Facility		$793.36	$793.36	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $79.34 / $79.34 / $79.34	Facility	AS	$79.34	$79.34	$79.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $759.65 / $1,082.00 / $1,711.87	Professional		$759.65	$1,082.00	$1,711.87
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $27.39 / $27.39 / $27.39	Professional	AS	$27.39	$27.39	$27.39
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00