Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,537.00 / $4,592.00 / $6,915.00	Facility		$1,537.00	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,918.73 / $3,177.60 / $4,879.88	Facility		$2,918.73	$3,177.60	$4,879.88
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 $1,528.96 / $2,140.54 / $5,664.19	Professional		$1,528.96	$2,140.54	$5,664.19
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $70.75 / $70.75 / $70.75	Professional	AS	$70.75	$70.75	$70.75
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00