Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $889.09 / $6,857.00 / $12,941.00	Facility		$889.09	$6,857.00	$12,941.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $444.55 / $444.55 / $702.52	Facility	52	$444.55	$444.55	$702.52
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $177.82 / $177.82 / $281.01	Facility	53	$177.82	$177.82	$281.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $902.65 / $1,053.08 / $4,163.00	Professional		$902.65	$1,053.08	$4,163.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,182.00 / $14,048.00	Facility		$1,738.00	$8,182.00	$14,048.00