Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $619.00 / $2,862.50 / $6,519.00	Facility		$619.00	$2,862.50	$6,519.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,475.00 / $2,862.50 / $6,292.00	Facility	50	$1,475.00	$2,862.50	$6,292.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.72 / $194.63 / $402.22	Professional		$144.72	$194.63	$402.22
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $99.58 / $220.09 / $440.17	Professional	50	$99.58	$220.09	$440.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $157.28 / $232.56 / $397.43	Professional		$157.28	$232.56	$397.43
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $235.92 / $348.88 / $596.14	Professional	50	$235.92	$348.88	$596.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $298.52 / $324.70 / $498.65	Facility		$298.52	$324.70	$498.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.62 / $1,000.62 / $1,000.62	Facility		$1,000.62	$1,000.62	$1,000.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.04 / $265.95 / $409.32	Professional		$177.04	$265.95	$409.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $203.29 / $519.85	Professional		$156.38	$203.29	$519.85
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
United Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $224.04 / $390.17	Professional		$162.96	$224.04	$390.17