Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $595.19 / $4,353.00 / $6,915.00	Facility		$595.19	$4,353.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,353.00 / $4,353.00 / $5,322.70	Facility	50	$4,353.00	$4,353.00	$5,322.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.08 / $499.07 / $1,155.45	Professional		$182.08	$499.07	$1,155.45
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,733.18 / $1,816.05 / $1,822.08	Professional	50	$1,733.18	$1,816.05	$1,822.08
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.28 / $468.83 / $909.32	Professional		$218.28	$468.83	$909.32
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $327.43 / $703.24 / $1,363.98	Professional	50	$327.43	$703.24	$1,363.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $338.40 / $368.46 / $565.86	Facility		$338.40	$368.46	$565.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,034.12 / $2,034.12 / $2,034.12	Facility		$2,034.12	$2,034.12	$2,034.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.62 / $533.88 / $1,164.92	Professional		$226.62	$533.88	$1,164.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.00 / $545.13 / $5,233.00	Professional		$195.00	$545.13	$5,233.00
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 $525.48 / $760.47 / $1,277.58	Professional		$525.48	$760.47	$1,277.58