Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,325.27 / $5,045.00 / $6,915.00	Facility		$2,325.27	$5,045.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,911.00 / $3,911.00 / $3,911.00	Facility	50	$3,911.00	$3,911.00	$3,911.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,325.76 / $8,967.21 / $21,657.35	Facility		$2,325.76	$8,967.21	$21,657.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4,405.05 / $4,816.47 / $7,396.73	Facility		$4,405.05	$4,816.47	$7,396.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,307.57 / $3,230.60 / $8,238.83	Professional		$2,307.57	$3,230.60	$8,238.83
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $365.07 / $365.07 / $365.07	Professional	80	$365.07	$365.07	$365.07
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $182.53 / $182.53 / $182.53	Professional	AS	$182.53	$182.53	$182.53
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00