Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $890.50 / $3,710.50 / $7,420.50	Facility		$890.50	$3,710.50	$7,420.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,520.00 / $4,452.50 / $9,226.08	Facility	50	$2,520.00	$4,452.50	$9,226.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,260.71 / $5,799.60 / $13,137.87	Facility		$1,260.71	$5,799.60	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,442.66 / $1,552.37 / $2,383.98	Facility		$1,442.66	$1,552.37	$2,383.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,009.86 / $6,918.00 / $9,852.00	Facility		$4,009.86	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $755.73 / $982.45 / $2,430.73	Professional		$755.73	$982.45	$2,430.73
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $23.48 / $23.48 / $23.48	Professional	AS	$23.48	$23.48	$23.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $20,022.00	Facility		$1,998.00	$9,193.00	$20,022.00