Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,337.98 / $5,793.00 / $9,025.50	Facility		$2,337.98	$5,793.00	$9,025.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,767.41 / $8,550.00 / $12,232.50	Facility	50	$4,767.41	$8,550.00	$12,232.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,670.92 / $5,799.60 / $13,137.87	Facility		$1,670.92	$5,799.60	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,301.74 / $1,572.93 / $2,583.17	Facility		$1,301.74	$1,572.93	$2,583.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $4,186.00 / $6,918.00 / $9,852.00	Facility		$4,186.00	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,150.21 / $1,495.27 / $3,117.56	Professional		$1,150.21	$1,495.27	$3,117.56
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $35.72 / $35.72 / $35.72	Professional	AS	$35.72	$35.72	$35.72
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