Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.58 / $3,391.00 / $6,915.00	Facility		$181.58	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,527.00 / $4,527.00 / $4,527.00	Facility	50	$4,527.00	$4,527.00	$4,527.00
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 $151.97 / $168.53 / $258.81	Facility		$151.97	$168.53	$258.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,212.51 / $1,212.51 / $1,212.51	Facility		$1,212.51	$1,212.51	$1,212.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.56 / $559.39 / $1,335.38	Professional		$91.56	$559.39	$1,335.38
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00