Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.23 / $4,613.25 / $6,915.00	Facility		$265.23	$4,613.25	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,356.75 / $4,356.75 / $8,527.50	Facility	50	$4,356.75	$4,356.75	$8,527.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $159.03 / $340.31	Professional		$139.68	$159.03	$340.31
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,628.21 / $5,240.56	Facility		$992.53	$2,628.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.09 / $215.29 / $382.26	Professional		$151.09	$215.29	$382.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $284.93 / $303.14 / $465.53	Facility		$284.93	$303.14	$465.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,761.45 / $1,761.45 / $1,761.45	Facility		$1,761.45	$1,761.45	$1,761.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.03 / $243.78 / $393.21	Professional		$161.03	$243.78	$393.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $194.04 / $352.04	Professional		$149.26	$194.04	$352.04
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.74 / $225.78 / $372.36	Professional		$151.74	$225.78	$372.36