Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $984.00 / $5,411.00 / $12,228.00	Facility		$984.00	$5,411.00	$12,228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $914.76 / $1,107.29 / $1,506.24	Facility		$914.76	$1,107.29	$1,506.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $599.27 / $5,845.00 / $10,047.00	Facility		$599.27	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $59.43 / $59.43 / $59.43	Facility	AS	$59.43	$59.43	$59.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $578.24 / $817.95 / $1,657.47	Professional		$578.24	$817.95	$1,657.47
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $20.85 / $20.85 / $20.85	Professional	AS	$20.85	$20.85	$20.85
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