Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $818.92 / $4,613.00 / $6,915.00	Facility		$818.92	$4,613.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.93 / $2,533.21 / $5,240.56	Facility		$878.93	$2,533.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $784.51 / $784.51 / $784.51	Facility		$784.51	$784.51	$784.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.69 / $578.69 / $1,272.50	Facility		$578.69	$578.69	$1,272.50
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $57.75 / $57.75 / $57.75	Facility	AS	$57.75	$57.75	$57.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $582.35 / $839.07 / $1,464.46	Professional		$582.35	$839.07	$1,464.46
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.43 / $23.43 / $23.43	Professional	AS	$23.43	$23.43	$23.43
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