Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $913.93 / $5,045.00 / $7,755.00	Facility		$913.93	$5,045.00	$7,755.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,353.00 / $6,882.50 / $15,626.21	Facility	50	$4,353.00	$6,882.50	$15,626.21
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $1,199.26 / $3,619.40 / $7,526.67	Professional	50	$1,199.26	$3,619.40	$7,526.67
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $704.29 / $986.11 / $1,692.00	Professional	50	$704.29	$986.11	$1,692.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $719.08 / $2,581.34 / $6,447.52	Professional	50	$719.08	$2,581.34	$6,447.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $424.91 / $510.75 / $784.36	Facility		$424.91	$510.75	$784.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $626.15 / $626.15 / $626.15	Facility		$626.15	$626.15	$626.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $437.78 / $2,290.11 / $17,121.66	Professional		$437.78	$2,290.11	$17,121.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00