Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.35 / $4,592.00 / $6,915.00	Facility		$19.35	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $9.68 / $18.46 / $29.01	Facility	52	$9.68	$18.46	$29.01
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $39.65 / $39.65	Facility		$39.65	$39.65	$39.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $535.00 / $770.87	Facility		$338.00	$535.00	$770.87
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $16.70 / $16.70 / $16.70	Facility	52	$16.70	$16.70	$16.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.59 / $24.17 / $74.98	Professional		$18.59	$24.17	$74.98
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $15.23 / $15.23 / $19.44	Professional	52	$15.23	$15.23	$19.44
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