Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $527.84 / $5,063.00 / $7,344.87	Facility		$527.84	$5,063.00	$7,344.87
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $129.57 / $129.57 / $263.92	Facility	52	$129.57	$129.57	$263.92
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $572.89 / $2,155.98 / $4,875.60	Facility		$572.89	$2,155.98	$4,875.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $342.48 / $342.48 / $342.48	Facility		$342.48	$342.48	$342.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $506.00 / $703.00 / $1,233.00	Facility		$506.00	$703.00	$1,233.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $230.55 / $230.55 / $230.55	Facility	52	$230.55	$230.55	$230.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.09 / $329.02 / $1,197.00	Professional		$253.09	$329.02	$1,197.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $207.38 / $207.38 / $264.70	Professional	52	$207.38	$207.38	$264.70
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