Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $828.43 / $4,852.00 / $7,391.00	Facility		$828.43	$4,852.00	$7,391.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $15,367.32 / $15,367.32 / $15,367.32	Facility	50	$15,367.32	$15,367.32	$15,367.32
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $2,805.30 / $5,084.83	Facility		$1,000.00	$2,805.30	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $984.36 / $1,197.33 / $74,999.25	Facility		$984.36	$1,197.33	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $886.00 / $1,119.77 / $1,410.08	Facility		$886.00	$1,119.77	$1,410.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $653.67 / $973.69 / $4,579.49	Professional		$653.67	$973.69	$4,579.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,200.00 / $6,995.00	Facility		$1,200.00	$4,200.00	$6,995.00