Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.10 / $4,592.00 / $7,068.00	Facility		$454.10	$4,592.00	$7,068.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,124.12 / $2,916.00 / $8,259.00	Facility	50	$2,124.12	$2,916.00	$8,259.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $381.18 / $831.11	Professional		$267.12	$381.18	$831.11
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $535.50 / $949.13 / $2,593.80	Professional	50	$535.50	$949.13	$2,593.80
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,557.00 / $5,240.56	Facility		$964.00	$2,557.00	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $318.74 / $507.14 / $824.26	Professional		$318.74	$507.14	$824.26
Anthem BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $478.11 / $760.71 / $1,236.39	Professional	50	$478.11	$760.71	$1,236.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $539.76 / $584.52 / $897.65	Facility		$539.76	$584.52	$897.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.68 / $260.68 / $260.68	Facility		$260.68	$260.68	$260.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $341.18 / $532.64 / $907.56	Professional		$341.18	$532.64	$907.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.75 / $429.74 / $563.24	Professional		$282.75	$429.74	$563.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $4,826.00 / $7,889.00	Facility		$1,200.00	$4,826.00	$7,889.00
United Facility/Professional Professional Modifier Low / Median / High Price $387.47 / $554.08 / $818.23	Professional		$387.47	$554.08	$818.23