Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.77 / $3,460.00 / $6,915.00	Facility		$193.77	$3,460.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.98 / $2,081.07 / $4,819.75	Facility		$559.98	$2,081.07	$4,819.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $161.13 / $161.13 / $161.13	Facility		$161.13	$161.13	$161.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $453.00 / $715.00 / $1,765.90	Facility		$453.00	$715.00	$1,765.90
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $94.25 / $94.25 / $94.25	Facility	52	$94.25	$94.25	$94.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.77 / $136.19 / $301.25	Professional		$104.77	$136.19	$301.25
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $85.84 / $85.84 / $109.58	Professional	52	$85.84	$85.84	$109.58
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