Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,300.00 / $5,063.00 / $7,421.00	Facility		$2,300.00	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $21,657.35	Facility		$1,282.27	$5,155.99	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,883.50 / $3,447.24 / $4,689.26	Facility		$2,883.50	$3,447.24	$4,689.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,869.23 / $2,500.00	Facility		$500.00	$1,869.23	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $184.84 / $184.84 / $184.84	Facility	AS	$184.84	$184.84	$184.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,800.17 / $2,620.81 / $5,972.30	Professional		$1,800.17	$2,620.81	$5,972.30
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $95.56 / $95.56 / $95.56	Professional	AS	$95.56	$95.56	$95.56
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