Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,077.40 / $5,917.00 / $9,488.00	Facility		$1,077.40	$5,917.00	$9,488.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $647.05 / $698.86 / $1,004.77	Facility	54	$647.05	$698.86	$1,004.77
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,078.00 / $3,107.04 / $5,240.56	Facility		$1,078.00	$3,107.04	$5,240.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,282.34 / $1,559.30 / $74,999.25	Facility		$1,282.34	$1,559.30	$74,999.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,150.00 / $1,325.29 / $1,668.88	Facility		$1,150.00	$1,325.29	$1,668.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $814.28 / $1,184.40 / $5,977.53	Professional		$814.28	$1,184.40	$5,977.53
Kaiser Permanente Facility/Professional Professional Modifier 54 Low / Median / High Price $913.40 / $913.40 / $913.40	Professional	54	$913.40	$913.40	$913.40
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