Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,006.54 / $5,045.00 / $6,915.00	Facility		$2,006.54	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,361.69 / $8,967.21 / $21,657.35	Facility		$2,361.69	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,004.72 / $3,004.72 / $3,004.72	Facility		$3,004.72	$3,004.72	$3,004.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $2,219.06 / $2,500.00	Facility		$500.00	$2,219.06	$2,500.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $218.70 / $218.70 / $218.70	Facility	AS	$218.70	$218.70	$218.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,225.35 / $3,270.30 / $5,596.23	Professional		$2,225.35	$3,270.30	$5,596.23
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $89.54 / $89.54 / $89.54	Professional	AS	$89.54	$89.54	$89.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,162.00 / $3,332.00 / $8,133.00	Facility		$1,162.00	$3,332.00	$8,133.00