Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $746.18 / $4,829.00 / $6,915.00	Facility		$746.18	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $782.57 / $946.52 / $1,287.54	Facility		$782.57	$946.52	$1,287.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.97 / $512.97 / $2,172.58	Facility		$512.97	$512.97	$2,172.58
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $50.85 / $50.85 / $50.85	Facility	AS	$50.85	$50.85	$50.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $494.27 / $715.09 / $1,295.34	Professional		$494.27	$715.09	$1,295.34
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $17.82 / $17.82 / $17.82	Professional	AS	$17.82	$17.82	$17.82
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