Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.51 / $3,018.00 / $6,858.00	Facility		$314.51	$3,018.00	$6,858.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $30.91 / $76.95 / $161.58	Facility	53	$30.91	$76.95	$161.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $1,635.81 / $3,784.98	Facility		$450.00	$1,635.81	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $89.09 / $89.09 / $485.88	Facility		$89.09	$89.09	$485.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $546.00 / $2,880.00	Facility		$338.00	$546.00	$2,880.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $52.70 / $52.70 / $52.70	Facility	53	$52.70	$52.70	$52.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.80 / $352.45 / $607.52	Professional		$174.80	$352.45	$607.52
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $87.40 / $153.24 / $251.12	Professional	53	$87.40	$153.24	$251.12
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