Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $846.29 / $4,733.00 / $6,915.00	Facility		$846.29	$4,733.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,183.64 / $6,862.43 / $8,713.50	Facility	50	$3,183.64	$6,862.43	$8,713.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $875.94 / $2,446.00 / $5,084.83	Facility		$875.94	$2,446.00	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $763.20 / $928.02 / $74,999.25	Facility		$763.20	$928.02	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.00 / $1,119.77 / $1,410.08	Facility		$630.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $840.00 / $4,653.35	Professional		$484.62	$840.00	$4,653.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00