Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $987.48 / $4,368.00 / $6,915.00	Facility		$987.48	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,342.80 / $1,486.68 / $2,198.13	Facility		$1,342.80	$1,486.68	$2,198.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.00 / $871.56 / $1,272.50	Facility		$860.00	$871.56	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $86.57 / $86.57 / $86.57	Facility	AS	$86.57	$86.57	$86.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $882.21 / $1,150.71 / $2,218.53	Professional		$882.21	$1,150.71	$2,218.53
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.50 / $35.50 / $35.50	Professional	AS	$35.50	$35.50	$35.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,075.00 / $4,826.00 / $7,889.00	Facility		$1,075.00	$4,826.00	$7,889.00