Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $5,045.00 / $6,915.00	Facility		$1,202.00	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,625.09 / $13,137.87	Facility		$1,402.00	$5,625.09	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,637.30 / $1,972.32 / $2,682.93	Facility		$1,637.30	$1,972.32	$2,682.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,067.22 / $1,067.22 / $13,342.36	Facility		$1,067.22	$1,067.22	$13,342.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $105.84 / $105.84 / $105.84	Facility	AS	$105.84	$105.84	$105.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,029.96 / $1,498.13 / $2,455.05	Professional		$1,029.96	$1,498.13	$2,455.05
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $74.27 / $74.27 / $74.27	Professional	80	$74.27	$74.27	$74.27
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $37.14 / $37.14 / $37.14	Professional	AS	$37.14	$37.14	$37.14
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