Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.92 / $2,221.00 / $6,900.00	Facility		$124.92	$2,221.00	$6,900.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $71.01 / $93.69 / $151.83	Facility	54	$71.01	$93.69	$151.83
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $734.14 / $2,139.92 / $4,143.39	Facility		$734.14	$2,139.92	$4,143.39
CareSource Facility/Professional Facility Modifier Low / Median / High Price $156.08 / $156.08 / $156.08	Facility		$156.08	$156.08	$156.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.91 / $160.71 / $2,500.00	Facility		$105.91	$160.71	$2,500.00
Cigna Facility/Professional Facility Modifier 54 Low / Median / High Price $112.50 / $112.50 / $112.50	Facility	54	$112.50	$112.50	$112.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $160.19 / $313.68	Professional		$113.16	$160.19	$313.68
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $130.88 / $130.88 / $175.66	Professional	54	$130.88	$130.88	$175.66
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