Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $637.19 / $3,911.00 / $7,755.00	Facility		$637.19	$3,911.00	$7,755.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,292.50 / $4,100.93 / $8,259.00	Facility	50	$1,292.50	$4,100.93	$8,259.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $6,474.90 / $6,474.90 / $12,040.42	Professional	50	$6,474.90	$6,474.90	$12,040.42
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $577.45 / $825.49 / $1,489.62	Professional	50	$577.45	$825.49	$1,489.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $764.49 / $812.37 / $1,247.57	Facility		$764.49	$812.37	$1,247.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $406.22 / $528.09 / $686.51	Professional		$406.22	$528.09	$686.51
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00