Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.67 / $2,595.00 / $6,915.00	Facility		$493.67	$2,595.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,871.62 / $2,871.62 / $7,117.50	Facility	50	$2,871.62	$2,871.62	$7,117.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.14 / $2,795.56 / $6,315.83	Facility		$776.14	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $955.16 / $1,049.69 / $1,362.68	Facility		$955.16	$1,049.69	$1,362.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $604.86 / $609.37 / $769.82	Professional		$604.86	$609.37	$769.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,886.00 / $7,889.00	Facility		$1,200.00	$4,886.00	$7,889.00