Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.18 / $5,809.00 / $11,103.00	Facility		$358.18	$5,809.00	$11,103.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $814.00 / $3,640.00 / $9,156.52	Facility		$814.00	$3,640.00	$9,156.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $297.52 / $297.52 / $297.52	Facility		$297.52	$297.52	$297.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $625.00 / $1,233.00	Facility		$506.00	$625.00	$1,233.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $20.54 / $20.54 / $20.54	Facility	AS	$20.54	$20.54	$20.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $182.01 / $236.61 / $495.83	Professional		$182.01	$236.61	$495.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $13.63 / $13.63 / $17.39	Professional	80	$13.63	$13.63	$17.39
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $6.82 / $6.82 / $8.69	Professional	AS	$6.82	$6.82	$8.69
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00