Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.22 / $3,391.00 / $6,915.00	Facility		$324.22	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,322.50 / $1,322.50 / $1,322.50	Facility	50	$1,322.50	$1,322.50	$1,322.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.07 / $316.56 / $445.89	Facility		$269.07	$316.56	$445.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.43 / $177.43 / $1,153.31	Facility		$177.43	$177.43	$1,153.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $237.20 / $402.15	Professional		$171.17	$237.20	$402.15
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00