Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $990.21 / $5,045.00 / $6,915.00	Facility		$990.21	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,508.35 / $1,508.35 / $1,508.35	Facility		$1,508.35	$1,508.35	$1,508.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $1,138.50	Facility		$200.00	$617.00	$1,138.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $111.55 / $111.55 / $111.55	Facility	AS	$111.55	$111.55	$111.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $979.51 / $1,273.35 / $2,293.14	Professional		$979.51	$1,273.35	$2,293.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.69 / $36.69 / $46.83	Professional	AS	$36.69	$36.69	$46.83
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