Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $845.56 / $5,045.00 / $9,488.00	Facility		$845.56	$5,045.00	$9,488.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $422.78 / $647.64 / $806.15	Facility	52	$422.78	$647.64	$806.15
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $659.95 / $3,801.18 / $10,304.31	Facility		$659.95	$3,801.18	$10,304.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,217.21 / $1,217.21 / $1,217.21	Facility		$1,217.21	$1,217.21	$1,217.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $200.00 / $617.00 / $967.73	Facility		$200.00	$617.00	$967.73
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $761.45 / $761.45 / $761.45	Facility	52	$761.45	$761.45	$761.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $840.52 / $1,092.68 / $1,967.75	Professional		$840.52	$1,092.68	$1,967.75
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $688.71 / $688.71 / $879.12	Professional	52	$688.71	$688.71	$879.12
United Facility/Professional Facility Modifier Low / Median / High Price $485.00 / $2,907.00 / $8,133.00	Facility		$485.00	$2,907.00	$8,133.00