Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,032.29 / $5,063.00 / $9,512.00	Facility		$1,032.29	$5,063.00	$9,512.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $663.97 / $728.68 / $1,034.17	Facility	54	$663.97	$728.68	$1,034.17
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,149.00 / $3,107.04 / $5,240.56	Facility		$1,149.00	$3,107.04	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.71 / $1,597.04 / $74,999.25	Facility		$1,315.71	$1,597.04	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,227.11 / $1,325.29 / $1,668.88	Facility		$1,227.11	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $833.99 / $1,213.07 / $6,133.81	Professional		$833.99	$1,213.07	$6,133.81
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $935.51 / $935.51 / $935.51	Professional	54	$935.51	$935.51	$935.51
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