Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,192.66 / $3,826.00 / $6,915.00	Facility		$1,192.66	$3,826.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $584.66 / $786.42 / $1,024.26	Facility	54	$584.66	$786.42	$1,024.26
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 $1,308.48 / $1,569.74 / $2,135.31	Facility		$1,308.48	$1,569.74	$2,135.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $852.66 / $852.66 / $1,153.31	Facility		$852.66	$852.66	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $592.41 / $592.41 / $592.41	Facility	54	$592.41	$592.41	$592.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $819.72 / $1,191.56 / $1,847.24	Professional		$819.72	$1,191.56	$1,847.24
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $1,034.45 / $1,034.45 / $1,034.45	Professional	54	$1,034.45	$1,034.45	$1,034.45
United Facility/Professional Facility Modifier Low / Median / High Price $426.00 / $2,360.00 / $4,066.00	Facility		$426.00	$2,360.00	$4,066.00