Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $607.61 / $4,329.00 / $6,915.00	Facility		$607.61	$4,329.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,490.60 / $3,490.60 / $3,490.60	Facility	50	$3,490.60	$3,490.60	$3,490.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $619.28 / $671.79 / $1,031.69	Facility		$619.28	$671.79	$1,031.69
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 $324.39 / $421.72 / $999.71	Professional		$324.39	$421.72	$999.71
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