Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $912.38 / $5,376.00 / $12,228.00	Facility		$912.38	$5,376.00	$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 $859.65 / $1,033.95 / $1,406.48	Facility		$859.65	$1,033.95	$1,406.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $563.82 / $5,845.00 / $10,047.00	Facility		$563.82	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $56.00 / $56.00 / $56.00	Facility	AS	$56.00	$56.00	$56.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $539.94 / $792.59 / $1,571.22	Professional		$539.94	$792.59	$1,571.22
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $19.47 / $19.47 / $19.47	Professional	AS	$19.47	$19.47	$19.47
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