Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.50 / $4,592.00 / $6,915.00	Facility		$1,080.50	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,126.00 / $4,126.00 / $4,126.00	Facility	50	$4,126.00	$4,126.00	$4,126.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,039.14 / $2,986.70 / $6,271.28	Facility		$1,039.14	$2,986.70	$6,271.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,346.85 / $1,642.43 / $74,999.25	Facility		$1,346.85	$1,642.43	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,732.09 / $2,181.15	Facility		$778.00	$1,732.09	$2,181.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $857.69 / $1,247.55 / $6,257.82	Professional		$857.69	$1,247.55	$6,257.82
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $54.98 / $54.98 / $54.98	Professional	80	$54.98	$54.98	$54.98
United Facility/Professional Facility Modifier Low / Median / High Price $990.00 / $6,000.00 / $8,554.00	Facility		$990.00	$6,000.00	$8,554.00