Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.05 / $3,391.00 / $6,915.00	Facility		$131.05	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,509.00 / $1,509.00 / $1,509.00	Facility	50	$1,509.00	$1,509.00	$1,509.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $552.38 / $839.17 / $1,789.93	Facility		$552.38	$839.17	$1,789.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.91 / $166.95 / $199.80	Facility		$141.91	$166.95	$199.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.10 / $92.10 / $92.10	Facility		$92.10	$92.10	$92.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.69 / $161.26 / $809.64	Professional		$88.69	$161.26	$809.64
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00