Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,016.34 / $4,592.00 / $6,915.00	Facility		$1,016.34	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $2,986.70 / $6,315.83	Facility		$1,082.02	$2,986.70	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,263.99 / $1,263.99 / $1,263.99	Facility		$1,263.99	$1,263.99	$1,263.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $787.50 / $1,145.46 / $1,866.18	Professional		$787.50	$1,145.46	$1,866.18
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.39 / $28.39 / $28.39	Professional	AS	$28.39	$28.39	$28.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,206.00 / $8,554.00	Facility		$1,800.00	$6,206.00	$8,554.00