Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,388.03 / $5,917.00 / $10,139.00	Facility		$1,388.03	$5,917.00	$10,139.00
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 $1,425.47 / $1,717.74 / $2,336.64	Facility		$1,425.47	$1,717.74	$2,336.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $928.11 / $2,500.00	Facility		$500.00	$928.11	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $92.05 / $92.05 / $92.05	Facility	AS	$92.05	$92.05	$92.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $897.02 / $1,304.75 / $2,304.31	Professional		$897.02	$1,304.75	$2,304.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.34 / $32.34 / $32.34	Professional	AS	$32.34	$32.34	$32.34
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