Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.50 / $4,195.00 / $6,915.00	Facility		$1,260.50	$4,195.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,955.25 / $1,955.25 / $9,313.50	Facility	50	$1,955.25	$1,955.25	$9,313.50
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
CareSource Facility/Professional Facility Modifier Low / Median / High Price $850.83 / $924.15 / $1,419.23	Facility		$850.83	$924.15	$1,419.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,942.85 / $1,942.85 / $1,942.85	Facility		$1,942.85	$1,942.85	$1,942.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.70 / $579.41 / $2,081.00	Professional		$445.70	$579.41	$2,081.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $15.52 / $15.52 / $15.52	Professional	AS	$15.52	$15.52	$15.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00