Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $771.96 / $5,045.00 / $6,915.00	Facility		$771.96	$5,045.00	$6,915.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $385.98 / $502.87 / $667.69	Facility	52	$385.98	$502.87	$667.69
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,523.39 / $15,411.81	Facility		$1,282.27	$5,523.39	$15,411.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,432.46 / $1,565.25 / $2,403.78	Facility		$1,432.46	$1,565.25	$2,403.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $550.00 / $550.00 / $550.00	Facility		$550.00	$550.00	$550.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $750.38 / $975.49 / $1,428.05	Professional		$750.38	$975.49	$1,428.05
Kaiser Permanente Facility/Professional Professional Modifier 52 Low / Median / High Price $538.90 / $538.90 / $538.90	Professional	52	$538.90	$538.90	$538.90
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $49.27 / $49.27 / $49.27	Professional	80	$49.27	$49.27	$49.27
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00