Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,026.70 / $5,063.00 / $7,421.00	Facility		$2,026.70	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,155.99 / $39,007.80	Facility		$1,282.27	$5,155.99	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,560.94 / $3,077.28 / $4,186.01	Facility		$2,560.94	$3,077.28	$4,186.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,668.85 / $2,500.00	Facility		$500.00	$1,668.85	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $165.90 / $165.90 / $165.90	Facility	AS	$165.90	$165.90	$165.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,606.98 / $2,263.60 / $3,621.31	Professional		$1,606.98	$2,263.60	$3,621.31
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $57.94 / $57.94 / $57.94	Professional	AS	$57.94	$57.94	$57.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,293.00 / $9,000.00 / $16,000.00	Facility		$3,293.00	$9,000.00	$16,000.00