Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $403.46 / $3,018.00 / $6,915.00	Facility		$403.46	$3,018.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $294.17 / $302.58 / $492.32	Facility	54	$294.17	$302.58	$492.32
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 $683.73 / $804.39 / $1,130.31	Facility		$683.73	$804.39	$1,130.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.38 / $449.73 / $640.00	Facility		$177.38	$449.73	$640.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $313.17 / $313.17 / $313.17	Facility	54	$313.17	$313.17	$313.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $433.92 / $505.00 / $977.82	Professional		$433.92	$505.00	$977.82
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $547.58 / $547.58 / $547.58	Professional	54	$547.58	$547.58	$547.58
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