Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.25 / $4,871.60 / $7,631.00	Facility		$989.25	$4,871.60	$7,631.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,072.00 / $8,072.00 / $8,331.00	Facility	50	$8,072.00	$8,072.00	$8,331.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,434.34 / $4,845.66 / $10,832.53	Facility		$1,434.34	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,500.65 / $1,617.63 / $2,484.23	Facility		$1,500.65	$1,617.63	$2,484.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $3,388.37 / $3,388.37	Facility		$3,388.37	$3,388.37	$3,388.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $786.11 / $1,021.94 / $2,193.89	Professional		$786.11	$1,021.94	$2,193.89
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $24.42 / $24.42 / $24.42	Professional	AS	$24.42	$24.42	$24.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00