Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.50 / $4,195.00 / $6,915.00	Facility		$301.50	$4,195.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,324.80 / $6,702.00 / $6,702.00	Facility	50	$1,324.80	$6,702.00	$6,702.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $176.78 / $213.61 / $339.60	Facility		$176.78	$213.61	$339.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.21 / $196.57 / $883.54	Professional		$151.21	$196.57	$883.54
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $2,360.00 / $4,066.00	Facility		$424.00	$2,360.00	$4,066.00