Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $531.66 / $5,063.00 / $7,391.00	Facility		$531.66	$5,063.00	$7,391.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,353.00 / $6,865.50 / $11,650.50	Facility	50	$4,353.00	$6,865.50	$11,650.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.58 / $590.19 / $1,271.56	Professional		$469.58	$590.19	$1,271.56
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $691.37 / $1,382.73 / $2,267.04	Professional	50	$691.37	$1,382.73	$2,267.04
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,162.53 / $2,827.85 / $5,240.56	Facility		$1,162.53	$2,827.85	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $542.51 / $750.62 / $1,323.73	Professional		$542.51	$750.62	$1,323.73
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $813.76 / $1,125.93 / $1,985.59	Professional	50	$813.76	$1,125.93	$1,985.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $923.72 / $1,020.68 / $1,325.01	Facility		$923.72	$1,020.68	$1,325.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $450.26 / $652.24 / $1,188.97	Professional		$450.26	$652.24	$1,188.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.14 / $662.99 / $1,684.09	Professional		$588.14	$662.99	$1,684.09
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
United Facility/Professional Professional Modifier Low / Median / High Price $565.73 / $847.91 / $1,430.01	Professional		$565.73	$847.91	$1,430.01