Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $753.75 / $2,585.00 / $6,726.00	Facility		$753.75	$2,585.00	$6,726.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,680.00 / $3,148.00 / $4,742.22	Facility	50	$1,680.00	$3,148.00	$4,742.22
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.75 / $369.98 / $568.19	Facility		$338.75	$369.98	$568.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $6,918.00 / $9,852.00	Facility		$2,034.12	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.45 / $230.69 / $743.89	Professional		$177.45	$230.69	$743.89
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