Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $982.31 / $4,829.00 / $6,915.00	Facility		$982.31	$4,829.00	$6,915.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $584.26 / $641.41 / $909.58	Facility	54	$584.26	$641.41	$909.58
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $992.53 / $2,669.65 / $5,084.83	Facility		$992.53	$2,669.65	$5,084.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,155.57 / $1,403.52 / $74,999.25	Facility		$1,155.57	$1,403.52	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $778.00 / $1,325.29 / $1,668.88	Facility		$778.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $732.93 / $1,066.08 / $5,397.39	Professional		$732.93	$1,066.08	$5,397.39
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $822.15 / $822.15 / $822.15	Professional	54	$822.15	$822.15	$822.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,180.00 / $4,581.00 / $7,647.00	Facility		$1,180.00	$4,581.00	$7,647.00