Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,273.06 / $4,368.00 / $6,915.00	Facility		$1,273.06	$4,368.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $584.39 / $825.77 / $1,061.06	Facility	54	$584.39	$825.77	$1,061.06
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 $1,325.24 / $1,587.59 / $2,159.60	Facility		$1,325.24	$1,587.59	$2,159.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $859.66 / $859.66 / $1,153.31	Facility		$859.66	$859.66	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $596.32 / $596.32 / $596.32	Facility	54	$596.32	$596.32	$596.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $829.05 / $1,194.99 / $1,868.25	Professional		$829.05	$1,194.99	$1,868.25
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $1,046.22 / $1,046.22 / $1,046.22	Professional	54	$1,046.22	$1,046.22	$1,046.22
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