Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.67 / $2,595.00 / $6,519.00	Facility		$301.67	$2,595.00	$6,519.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $79.95 / $150.84 / $270.68	Facility	52	$79.95	$150.84	$270.68
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.91 / $2,322.50 / $5,240.56	Facility		$775.91	$2,322.50	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $141.11 / $191.46 / $211.98	Facility		$141.11	$191.46	$211.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,000.62 / $1,000.62 / $1,000.62	Facility		$1,000.62	$1,000.62	$1,000.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $155.22 / $293.22 / $587.91	Professional		$155.22	$293.22	$587.91
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $98.62 / $98.62 / $186.29	Professional	52	$98.62	$98.62	$186.29
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,218.00 / $5,272.00	Facility		$607.00	$3,218.00	$5,272.00