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 $124.97 / $124.97 / $223.45	Facility	52	$124.97	$124.97	$223.45
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $49.99 / $49.99 / $89.38	Facility	53	$49.99	$49.99	$89.38
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $576.79 / $2,236.86 / $4,819.75	Facility		$576.79	$2,236.86	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $444.23 / $444.23 / $444.23	Facility		$444.23	$444.23	$444.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.00 / $716.39 / $2,880.00	Facility		$512.00	$716.39	$2,880.00
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $221.01 / $221.01 / $221.01	Facility	52	$221.01	$221.01	$221.01
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $55.25 / $55.25 / $55.25	Facility	53	$55.25	$55.25	$55.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $242.29 / $314.98 / $1,989.00	Professional		$242.29	$314.98	$1,989.00
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