Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $394.88 / $3,822.00 / $6,915.00	Facility		$394.88	$3,822.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,629.00 / $2,744.00 / $3,534.00	Facility	50	$1,629.00	$2,744.00	$3,534.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $4,845.66 / $10,832.53	Facility		$1,226.00	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $375.93 / $410.67 / $630.67	Facility		$375.93	$410.67	$630.67
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 $196.92 / $256.00 / $786.31	Professional		$196.92	$256.00	$786.31
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