Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.02 / $2,960.00 / $6,915.00	Facility		$600.02	$2,960.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $371.35 / $443.09 / $631.12	Facility	54	$371.35	$443.09	$631.12
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,292.94 / $5,240.56	Facility		$869.00	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $835.58 / $1,017.50 / $1,384.08	Facility		$835.58	$1,017.50	$1,384.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $550.91 / $1,153.31	Facility		$550.91	$550.91	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.68 / $384.68 / $384.68	Facility	54	$384.68	$384.68	$384.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $531.33 / $744.22 / $1,197.34	Professional		$531.33	$744.22	$1,197.34
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $670.52 / $670.52 / $670.52	Professional	54	$670.52	$670.52	$670.52
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,272.00	Facility		$625.00	$3,218.00	$5,272.00