Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.45 / $3,826.00 / $6,858.00	Facility		$393.45	$3,826.00	$6,858.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $96.62 / $171.67 / $365.00	Facility	52	$96.62	$171.67	$365.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $568.00 / $2,081.07 / $4,819.75	Facility		$568.00	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $359.12 / $359.12 / $359.12	Facility		$359.12	$359.12	$359.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $448.00 / $715.00 / $1,091.58	Facility		$448.00	$715.00	$1,091.58
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $172.10 / $172.10 / $172.10	Facility	52	$172.10	$172.10	$172.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.43 / $244.96 / $943.47	Professional		$188.43	$244.96	$943.47
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $154.40 / $154.40 / $197.09	Professional	52	$154.40	$154.40	$197.09
United Facility/Professional Facility Modifier Low / Median / High Price $515.00 / $2,307.00 / $5,272.00	Facility		$515.00	$2,307.00	$5,272.00