Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,094.83 / $3,391.00 / $6,915.00	Facility		$1,094.83	$3,391.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $526.75 / $724.44 / $920.36	Facility	54	$526.75	$724.44	$920.36
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,322.50 / $5,240.56	Facility		$741.08	$2,322.50	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,195.13 / $1,436.40 / $1,953.93	Facility		$1,195.13	$1,436.40	$1,953.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $778.31 / $1,153.31	Facility		$640.00	$778.31	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $541.79 / $541.79 / $541.79	Facility	54	$541.79	$541.79	$541.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.10 / $1,072.07 / $1,690.35	Professional		$750.10	$1,072.07	$1,690.35
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $946.60 / $946.60 / $946.60	Professional	54	$946.60	$946.60	$946.60
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