Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.37 / $2,960.00 / $6,915.00	Facility		$649.37	$2,960.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $910.50 / $2,234.00 / $6,273.90	Facility	50	$910.50	$2,234.00	$6,273.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,072.72 / $4,845.66 / $10,832.53	Facility		$1,072.72	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,440.02 / $1,550.85 / $2,381.67	Facility		$1,440.02	$1,550.85	$2,381.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $6,918.00 / $9,852.00	Facility		$3,388.37	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $754.34 / $980.64 / $1,447.65	Professional		$754.34	$980.64	$1,447.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,206.00 / $15,564.00	Facility		$1,738.00	$8,206.00	$15,564.00