Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.92 / $5,730.00 / $8,155.00	Facility		$1,199.92	$5,730.00	$8,155.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,432.75 / $7,275.00 / $10,740.91	Facility	50	$3,432.75	$7,275.00	$10,740.91
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,566.79 / $4,845.66 / $10,832.53	Facility		$1,566.79	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,530.20 / $1,647.29 / $2,529.75	Facility		$1,530.20	$1,647.29	$2,529.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,388.37 / $3,388.37 / $3,388.37	Facility		$3,388.37	$3,388.37	$3,388.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $801.58 / $1,042.05 / $1,999.42	Professional		$801.58	$1,042.05	$1,999.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00