Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $949.96 / $5,063.00 / $7,046.34	Facility		$949.96	$5,063.00	$7,046.34
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $7,800.00 / $7,800.00 / $11,446.50	Facility	50	$7,800.00	$7,800.00	$11,446.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$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 $778.00 / $1,119.77 / $1,410.08	Facility		$778.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $484.62 / $933.00 / $5,327.94	Professional		$484.62	$933.00	$5,327.94
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