Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $296.02 / $3,214.00 / $6,915.00	Facility		$296.02	$3,214.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $138.13 / $243.93 / $494.39	Facility	54	$138.13	$243.93	$494.39
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $635.46 / $2,067.41 / $3,851.83	Facility		$635.46	$2,067.41	$3,851.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $321.95 / $378.75 / $731.97	Facility		$321.95	$378.75	$731.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $208.02 / $640.00	Facility		$177.38	$208.02	$640.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $140.13 / $140.13 / $140.13	Facility	54	$140.13	$140.13	$140.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.35 / $284.14 / $777.03	Professional		$195.35	$284.14	$777.03
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $246.51 / $246.51 / $246.51	Professional	54	$246.51	$246.51	$246.51
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