Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,066.92 / $5,730.00 / $15,750.00	Facility		$2,066.92	$5,730.00	$15,750.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $7,258.37 / $23,169.33	Facility		$1,282.27	$7,258.37	$23,169.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,208.12 / $2,597.79 / $3,601.73	Facility		$2,208.12	$2,597.79	$3,601.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,433.27 / $2,500.00	Facility		$500.00	$1,433.27	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $142.16 / $142.16 / $142.16	Facility	AS	$142.16	$142.16	$142.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,382.69 / $1,989.38 / $3,700.35	Professional		$1,382.69	$1,989.38	$3,700.35
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $3,739.02 / $3,739.02 / $3,739.02	Professional	22	$3,739.02	$3,739.02	$3,739.02
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $49.85 / $49.85 / $49.85	Professional	AS	$49.85	$49.85	$49.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,172.00 / $18,613.00	Facility		$1,998.00	$9,172.00	$18,613.00