Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,452.55 / $5,045.00 / $6,915.00	Facility		$1,452.55	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.57 / $2,042.60 / $2,778.53	Facility		$1,700.57	$2,042.60	$2,778.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,102.93 / $4,830.16	Facility		$1,000.00	$1,102.93	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.46 / $109.46 / $109.46	Facility	AS	$109.46	$109.46	$109.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,066.65 / $1,531.27 / $2,403.69	Professional		$1,066.65	$1,531.27	$2,403.69
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.46 / $38.46 / $38.46	Professional	AS	$38.46	$38.46	$38.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00