Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,279.49 / $5,063.00 / $7,391.00	Facility		$1,279.49	$5,063.00	$7,391.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,603.22 / $5,435.54 / $12,227.65	Facility		$1,603.22	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,425.87 / $1,719.96 / $2,339.66	Facility		$1,425.87	$1,719.96	$2,339.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $929.59 / $929.59 / $6,122.06	Facility		$929.59	$929.59	$6,122.06
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.68 / $92.68 / $92.68	Facility	AS	$92.68	$92.68	$92.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $898.18 / $1,279.55 / $2,108.59	Professional		$898.18	$1,279.55	$2,108.59
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.38 / $32.38 / $32.38	Professional	AS	$32.38	$32.38	$32.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00