Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $682.54 / $4,817.00 / $6,915.00	Facility		$682.54	$4,817.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,570.00 / $7,570.00 / $7,570.00	Facility	50	$7,570.00	$7,570.00	$7,570.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,376.26 / $3,839.45 / $8,545.91	Facility		$1,376.26	$3,839.45	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $770.94 / $848.40 / $1,302.90	Facility		$770.94	$848.40	$1,302.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,185.25 / $6,918.00 / $9,852.00	Facility		$3,185.25	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.85 / $525.01 / $1,919.52	Professional		$403.85	$525.01	$1,919.52
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $994.43 / $994.43 / $994.43	Professional	22	$994.43	$994.43	$994.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00