Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,040.69 / $5,045.00 / $6,915.00	Facility		$1,040.69	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $6,505.75 / $17,687.80	Facility		$1,298.47	$6,505.75	$17,687.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,788.56 / $1,963.56 / $3,015.47	Facility		$1,788.56	$1,963.56	$3,015.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $936.92 / $1,218.00 / $2,503.41	Professional		$936.92	$1,218.00	$2,503.41
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.93 / $29.93 / $29.93	Professional	AS	$29.93	$29.93	$29.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,303.00 / $10,133.00 / $20,037.00	Facility		$2,303.00	$10,133.00	$20,037.00