Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,628.35 / $5,045.00 / $9,488.00	Facility		$1,628.35	$5,045.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $4,845.66 / $10,832.53	Facility		$1,226.00	$4,845.66	$10,832.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,279.97 / $1,439.75 / $5,369.51	Professional		$1,279.97	$1,439.75	$5,369.51
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $31.28 / $31.28 / $31.28	Professional	AS	$31.28	$31.28	$31.28
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