Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $635.65 / $4,817.00 / $6,915.00	Facility		$635.65	$4,817.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,062.50 / $2,062.50 / $2,062.50	Facility	50	$2,062.50	$2,062.50	$2,062.50
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 $716.51 / $776.85 / $1,193.03	Facility		$716.51	$776.85	$1,193.03
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 $375.33 / $487.93 / $862.17	Professional		$375.33	$487.93	$862.17
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