Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $841.79 / $4,592.00 / $7,421.00	Facility		$841.79	$4,592.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,395.50 / $4,838.60 / $10,902.00	Facility	50	$2,395.50	$4,838.60	$10,902.00
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 $1,352.36 / $1,457.15 / $2,237.76	Facility		$1,352.36	$1,457.15	$2,237.76
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 $708.43 / $920.96 / $1,682.58	Professional		$708.43	$920.96	$1,682.58
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,650.70 / $1,650.70 / $1,650.70	Professional	22	$1,650.70	$1,650.70	$1,650.70
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