Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.61 / $4,817.00 / $6,915.00	Facility		$1,062.61	$4,817.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,634.00 / $6,291.00 / $9,084.00	Facility	50	$3,634.00	$6,291.00	$9,084.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,274.42 / $1,370.66 / $2,104.92	Facility		$1,274.42	$1,370.66	$2,104.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $667.59 / $867.87 / $1,608.08	Professional		$667.59	$867.87	$1,608.08
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