Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,244.91 / $6,148.74 / $10,390.00	Facility		$2,244.91	$6,148.74	$10,390.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,872.00 / $9,848.00 / $9,848.00	Facility	50	$7,872.00	$9,848.00	$9,848.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,557.85 / $12,926.58	Facility		$1,380.70	$4,557.85	$12,926.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $722.72 / $795.08 / $1,221.02	Facility		$722.72	$795.08	$1,221.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $3,185.25 / $4,774.00	Facility		$3,185.25	$3,185.25	$4,774.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.59 / $492.17 / $1,058.14	Professional		$378.59	$492.17	$1,058.14
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $932.21 / $932.21 / $932.21	Professional	22	$932.21	$932.21	$932.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,264.00 / $15,490.00	Facility		$1,738.00	$8,264.00	$15,490.00