Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,201.14 / $4,829.00 / $6,915.00	Facility		$1,201.14	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,088.55 / $6,315.83	Facility		$1,082.02	$3,088.55	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,323.80 / $1,593.90 / $2,168.16	Facility		$1,323.80	$1,593.90	$2,168.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $832.35 / $1,186.45 / $1,875.67	Professional		$832.35	$1,186.45	$1,875.67
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $30.01 / $30.01 / $30.01	Professional	AS	$30.01	$30.01	$30.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00