Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.48 / $3,018.00 / $6,915.00	Facility		$166.48	$3,018.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $480.00 / $1,729.39 / $3,784.98	Facility		$480.00	$1,729.39	$3,784.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $123.92 / $123.92 / $123.92	Facility		$123.92	$123.92	$123.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.10 / $512.00 / $703.00	Facility		$163.10	$512.00	$703.00
Cigna Facility/Professional Facility Modifier 53 Low / Median / High Price $14.89 / $14.89 / $14.89	Facility	53	$14.89	$14.89	$14.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.41 / $179.90 / $234.55	Professional		$55.41	$179.90	$234.55
Kaiser Permanente Facility/Professional Professional Modifier 53 Low / Median / High Price $33.92 / $37.93 / $110.12	Professional	53	$33.92	$37.93	$110.12
United Facility/Professional Facility Modifier Low / Median / High Price $394.00 / $1,952.00 / $4,066.00	Facility		$394.00	$1,952.00	$4,066.00