Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $751.46 / $3,360.00 / $6,915.00	Facility		$751.46	$3,360.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $384.05 / $422.79 / $668.27	Facility	54	$384.05	$422.79	$668.27
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $741.08 / $2,292.94 / $5,240.56	Facility		$741.08	$2,292.94	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $864.86 / $1,047.08 / $1,424.33	Facility		$864.86	$1,047.08	$1,424.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.54 / $566.54 / $1,153.31	Facility		$566.54	$566.54	$1,153.31
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $394.33 / $394.33 / $394.33	Facility	54	$394.33	$394.33	$394.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $546.79 / $699.20 / $1,232.17	Professional		$546.79	$699.20	$1,232.17
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $690.02 / $690.02 / $690.02	Professional	54	$690.02	$690.02	$690.02
United Facility/Professional Facility Modifier Low / Median / High Price $625.00 / $3,218.00 / $5,392.00	Facility		$625.00	$3,218.00	$5,392.00