Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $453.49 / $4,592.00 / $6,915.00	Facility		$453.49	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,585.00 / $2,904.50 / $4,129.50	Facility	50	$2,585.00	$2,904.50	$4,129.50
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 $437.18 / $477.98 / $734.04	Facility		$437.18	$477.98	$734.04
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 $229.01 / $297.70 / $918.59	Professional		$229.01	$297.70	$918.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00