Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,840.99 / $6,014.00 / $9,488.00	Facility		$1,840.99	$6,014.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $9,558.66 / $39,007.80	Facility		$2,361.69	$9,558.66	$39,007.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,943.43 / $2,328.66 / $3,167.67	Facility		$1,943.43	$2,328.66	$3,167.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,260.22 / $2,500.00	Facility		$500.00	$1,260.22	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $124.78 / $124.78 / $124.78	Facility	AS	$124.78	$124.78	$124.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,216.05 / $1,746.79 / $3,362.45	Professional		$1,216.05	$1,746.79	$3,362.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $43.85 / $43.85 / $43.85	Professional	AS	$43.85	$43.85	$43.85
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