Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,540.93 / $5,175.00 / $14,490.00	Facility		$1,540.93	$5,175.00	$14,490.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,336.91 / $6,821.66 / $23,169.33	Facility		$1,336.91	$6,821.66	$23,169.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,670.76 / $2,005.04 / $2,727.44	Facility		$1,670.76	$2,005.04	$2,727.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,082.47 / $3,750.00	Facility		$500.00	$1,082.47	$3,750.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $106.37 / $106.37 / $106.37	Facility	AS	$106.37	$106.37	$106.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,047.04 / $1,488.83 / $2,741.33	Professional		$1,047.04	$1,488.83	$2,741.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.75 / $37.75 / $37.75	Professional	AS	$37.75	$37.75	$37.75
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