Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $989.25 / $4,708.00 / $6,915.00	Facility		$989.25	$4,708.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $13,529.05 / $13,529.05 / $13,529.05	Facility	50	$13,529.05	$13,529.05	$13,529.05
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 $1,135.07 / $1,223.15 / $1,878.41	Facility		$1,135.07	$1,223.15	$1,878.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,034.12 / $2,034.12	Facility		$2,034.12	$2,034.12	$2,034.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $594.59 / $772.97 / $1,861.66	Professional		$594.59	$772.97	$1,861.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,594.00 / $7,647.00	Facility		$1,369.00	$4,594.00	$7,647.00