Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.52 / $4,592.00 / $6,915.00	Facility		$395.52	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,263.75 / $7,461.25 / $10,602.00	Facility	50	$4,263.75	$7,461.25	$10,602.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $562.49 / $562.49 / $562.49	Professional	50	$562.49	$562.49	$562.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $570.85 / $819.82 / $1,442.44	Professional	50	$570.85	$819.82	$1,442.44
CareSource Facility/Professional Facility Modifier Low / Median / High Price $668.69 / $740.67 / $961.52	Facility		$668.69	$740.67	$961.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.79 / $492.42 / $922.03	Professional		$426.79	$492.42	$922.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,250.00 / $5,272.00	Facility		$1,036.00	$3,250.00	$5,272.00