Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $857.42 / $2,595.00 / $6,900.00	Facility		$857.42	$2,595.00	$6,900.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $5,435.54 / $12,227.65	Facility		$996.37	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,073.36 / $1,289.13 / $1,753.61	Facility		$1,073.36	$1,289.13	$1,753.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $1,051.54 / $4,830.16	Facility		$860.00	$1,051.54	$4,830.16
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.15 / $105.15 / $105.15	Facility	AS	$105.15	$105.15	$105.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $734.40 / $1,053.85 / $2,009.46	Professional		$734.40	$1,053.85	$2,009.46
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.27 / $24.27 / $32.15	Professional	AS	$24.27	$24.27	$32.15
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