Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.80 / $4,353.00 / $6,915.00	Facility		$478.80	$4,353.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $114.77 / $207.05 / $426.69	Facility	52	$114.77	$207.05	$426.69
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 $440.82 / $440.82 / $440.82	Facility		$440.82	$440.82	$440.82
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 $204.01 / $204.01 / $204.01	Facility	52	$204.01	$204.01	$204.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.40 / $291.72 / $1,102.93	Professional		$224.40	$291.72	$1,102.93
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $183.87 / $183.87 / $234.70	Professional	52	$183.87	$183.87	$234.70
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