Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.36 / $5,595.00 / $34,045.00	Facility		$735.36	$5,595.00	$34,045.00
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $120.92 / $120.92 / $139.63	Facility	53	$120.92	$120.92	$139.63
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,476.94 / $14,538.00 / $34,380.73	Facility		$2,476.94	$14,538.00	$34,380.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $636.59 / $868.81 / $954.38	Facility		$636.59	$868.81	$954.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8,105.00 / $11,616.00 / $25,173.00	Facility		$8,105.00	$11,616.00	$25,173.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $763.91 / $891.23 / $3,498.00	Professional		$763.91	$891.23	$3,498.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $13,746.00 / $24,000.00	Facility		$2,725.00	$13,746.00	$24,000.00