Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $490.50 / $2,221.00 / $6,915.00	Facility		$490.50	$2,221.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $494.00 / $1,817.50 / $8,712.60	Facility	50	$494.00	$1,817.50	$8,712.60
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.58 / $293.74 / $635.77	Facility		$202.58	$293.74	$635.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $231.35 / $263.35 / $1,015.00	Professional		$231.35	$263.35	$1,015.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00