Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $537.54 / $2,410.10 / $6,519.00	Facility		$537.54	$2,410.10	$6,519.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $360.95 / $475.55 / $661.49	Facility	54	$360.95	$475.55	$661.49
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $869.00 / $2,354.21 / $5,240.56	Facility		$869.00	$2,354.21	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $819.96 / $995.30 / $1,353.90	Facility		$819.96	$995.30	$1,353.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $801.14 / $801.14 / $1,153.31	Facility		$801.14	$801.14	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $560.79 / $560.79 / $560.79	Facility	54	$560.79	$560.79	$560.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.38 / $787.74 / $1,313.54	Professional		$543.38	$787.74	$1,313.54
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $655.90 / $655.90 / $735.58	Professional	54	$655.90	$655.90	$735.58
United Facility/Professional Facility Modifier Low / Median / High Price $175.00 / $1,550.00 / $2,665.00	Facility		$175.00	$1,550.00	$2,665.00