Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.58 / $4,829.00 / $7,268.00	Facility		$599.58	$4,829.00	$7,268.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $6,291.00 / $6,291.00 / $6,291.00	Facility	50	$6,291.00	$6,291.00	$6,291.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.17 / $2,753.31 / $5,240.56	Facility		$1,078.17	$2,753.31	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $606.92 / $658.41 / $1,011.14	Facility		$606.92	$658.41	$1,011.14
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 $317.94 / $413.32 / $1,076.59	Professional		$317.94	$413.32	$1,076.59
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