Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $695.09 / $4,592.00 / $7,421.00	Facility		$695.09	$4,592.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,259.00 / $8,259.00 / $11,392.36	Facility	50	$8,259.00	$8,259.00	$11,392.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.07 / $773.83 / $1,521.01	Professional		$310.07	$773.83	$1,521.01
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $428.78 / $994.19 / $3,171.38	Professional	50	$428.78	$994.19	$3,171.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $5,625.09 / $35,850.44	Facility		$1,206.01	$5,625.09	$35,850.44
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.48 / $506.55 / $1,002.35	Professional		$299.48	$506.55	$1,002.35
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $449.22 / $759.82 / $1,503.52	Professional	50	$449.22	$759.82	$1,503.52
CareSource Facility/Professional Facility Modifier Low / Median / High Price $390.65 / $625.04 / $900.78	Facility		$390.65	$625.04	$900.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $515.84 / $6,918.00 / $9,852.00	Facility		$515.84	$6,918.00	$9,852.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $392.81 / $888.17 / $1,957.73	Professional		$392.81	$888.17	$1,957.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.61 / $832.85 / $2,007.13	Professional		$371.61	$832.85	$2,007.13
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $40,000.00	Facility		$1,998.00	$9,193.00	$40,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.82 / $1,232.75 / $1,948.01	Professional		$659.82	$1,232.75	$1,948.01