Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.14 / $3,826.00 / $6,915.00	Facility		$251.14	$3,826.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $70.11 / $124.43 / $249.10	Facility	52	$70.11	$124.43	$249.10
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 $232.11 / $232.11 / $232.11	Facility		$232.11	$232.11	$232.11
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 $125.57 / $125.57 / $125.57	Facility	52	$125.57	$125.57	$125.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $179.48 / $643.90	Professional		$138.06	$179.48	$643.90
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $113.12 / $113.12 / $144.40	Professional	52	$113.12	$113.12	$144.40
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