Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $792.50 / $4,353.00 / $7,421.00	Facility		$792.50	$4,353.00	$7,421.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,781.00 / $4,794.60 / $8,713.50	Facility	50	$1,781.00	$4,794.60	$8,713.50
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,516.40 / $12,227.65	Facility		$1,282.27	$5,516.40	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $973.41 / $1,066.50 / $1,384.52	Facility		$973.41	$1,066.50	$1,384.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $614.55 / $686.57 / $1,492.65	Professional		$614.55	$686.57	$1,492.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $8,182.00 / $14,048.00	Facility		$1,738.00	$8,182.00	$14,048.00