Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $693.80 / $4,368.00 / $6,915.00	Facility		$693.80	$4,368.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,771.00 / $1,771.00 / $6,519.00	Facility	50	$1,771.00	$1,771.00	$6,519.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $460.56 / $726.41 / $1,507.85	Professional		$460.56	$726.41	$1,507.85
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,354.21 / $5,240.56	Facility		$964.00	$2,354.21	$5,240.56
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $551.66 / $874.84 / $1,515.77	Professional		$551.66	$874.84	$1,515.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $932.30 / $994.04 / $1,399.38	Facility		$932.30	$994.04	$1,399.38
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 $545.67 / $943.54 / $1,638.64	Professional		$545.67	$943.54	$1,638.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $488.38 / $825.36 / $1,407.66	Professional		$488.38	$825.36	$1,407.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,369.00 / $4,581.00 / $7,647.00	Facility		$1,369.00	$4,581.00	$7,647.00
United Facility/Professional Professional Modifier Low / Median / High Price $707.96 / $973.11 / $1,579.88	Professional		$707.96	$973.11	$1,579.88