Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,194.00 / $4,592.00 / $6,915.00	Facility		$1,194.00	$4,592.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $143.08 / $143.08 / $255.24	Facility	52	$143.08	$143.08	$255.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $744.00 / $2,889.99 / $7,513.42	Facility		$744.00	$2,889.99	$7,513.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $507.60 / $507.60 / $507.60	Facility		$507.60	$507.60	$507.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $835.00 / $5,307.57	Facility		$512.00	$835.00	$5,307.57
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $254.41 / $254.41 / $254.41	Facility	52	$254.41	$254.41	$254.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $278.58 / $362.17 / $2,155.00	Professional		$278.58	$362.17	$2,155.00
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $228.27 / $228.27 / $291.38	Professional	52	$228.27	$228.27	$291.38
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