Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $554.22 / $2,987.00 / $6,915.00	Facility		$554.22	$2,987.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,372.50 / $2,372.50 / $2,372.50	Facility	50	$2,372.50	$2,372.50	$2,372.50
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 $1,225.13 / $1,319.70 / $2,026.68	Facility		$1,225.13	$1,319.70	$2,026.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $6,918.00 / $9,852.00	Facility		$1,942.85	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $641.78 / $834.31 / $1,106.59	Professional		$641.78	$834.31	$1,106.59
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