Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.41 / $4,708.00 / $6,915.00	Facility		$275.41	$4,708.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,781.00 / $1,781.00 / $4,263.75	Facility	50	$1,781.00	$1,781.00	$4,263.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.43 / $1,520.17 / $4,179.58	Professional		$155.43	$1,520.17	$4,179.58
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $2,658.03 / $5,125.93 / $5,316.06	Professional	50	$2,658.03	$5,125.93	$5,316.06
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
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.07 / $1,325.40 / $5,184.04	Professional		$189.07	$1,325.40	$5,184.04
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $283.60 / $1,988.10 / $7,776.06	Professional	50	$283.60	$1,988.10	$7,776.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $269.31 / $293.69 / $451.02	Facility		$269.31	$293.69	$451.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,790.47 / $1,790.47 / $1,790.47	Facility		$1,790.47	$1,790.47	$1,790.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.59 / $1,668.14 / $4,786.31	Professional		$204.59	$1,668.14	$4,786.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $1,655.75 / $10,254.00	Professional		$155.19	$1,655.75	$10,254.00
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 $1,913.40 / $3,196.38 / $5,880.74	Professional		$1,913.40	$3,196.38	$5,880.74