Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,106.00 / $5,045.00 / $6,915.00	Facility		$1,106.00	$5,045.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $12,664.57 / $12,664.57 / $12,664.57	Facility	50	$12,664.57	$12,664.57	$12,664.57
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 $372.12 / $409.65 / $629.10	Facility		$372.12	$409.65	$629.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,090.96 / $2,090.96 / $2,090.96	Facility		$2,090.96	$2,090.96	$2,090.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.17 / $1,013.31 / $2,208.00	Professional		$224.17	$1,013.31	$2,208.00
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