Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $485.35 / $485.35 / $927.02	Facility		$485.35	$485.35	$927.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $455.13 / $466.33 / $507.53	Professional		$455.13	$466.33	$507.53
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $501.41 / $501.41	Professional		$54.44	$501.41	$501.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $806.51 / $994.77 / $1,170.32	Facility		$806.51	$994.77	$1,170.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $600.54 / $600.54 / $600.54	Professional		$600.54	$600.54	$600.54
United Facility/Professional Facility Modifier Low / Median / High Price $1,133.71 / $1,191.90 / $1,191.90	Facility		$1,133.71	$1,191.90	$1,191.90
United Facility/Professional Professional Modifier Low / Median / High Price $497.12 / $585.24 / $1,050.92	Professional		$497.12	$585.24	$1,050.92