Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.37 / $5,045.00 / $6,915.00	Facility		$270.37	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,063.95 / $3,107.04 / $6,147.04	Facility		$1,063.95	$3,107.04	$6,147.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $445.39 / $445.39 / $445.39	Facility		$445.39	$445.39	$445.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $302.33 / $302.33 / $2,500.00	Facility		$302.33	$302.33	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $29.68 / $29.68 / $29.68	Facility	AS	$29.68	$29.68	$29.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $446.43 / $1,325.83	Professional		$303.77	$446.43	$1,325.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $24.45 / $24.45 / $24.45	Professional	80	$24.45	$24.45	$24.45
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $12.22 / $12.22 / $12.22	Professional	AS	$12.22	$12.22	$12.22
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,587.00 / $9,079.00	Facility		$625.00	$3,587.00	$9,079.00