Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,131.76 / $6,017.00 / $9,025.50	Facility		$2,131.76	$6,017.00	$9,025.50
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,353.00 / $8,010.00 / $14,484.00	Facility	50	$4,353.00	$8,010.00	$14,484.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $930.71 / $1,019.97 / $1,566.39	Facility		$930.71	$1,019.97	$1,566.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.29 / $3,064.29 / $3,064.29	Facility		$3,064.29	$3,064.29	$3,064.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $487.54 / $633.79 / $3,473.00	Professional		$487.54	$633.79	$3,473.00
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $1,168.22 / $1,168.22 / $1,168.22	Professional	22	$1,168.22	$1,168.22	$1,168.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00