Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,221.34 / $4,829.00 / $6,915.00	Facility		$1,221.34	$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 $1,413.16 / $1,413.16 / $1,413.16	Facility		$1,413.16	$1,413.16	$1,413.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $793.13 / $1,215.26 / $1,787.29	Professional		$793.13	$1,215.26	$1,787.29
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.60 / $28.60 / $28.60	Professional	AS	$28.60	$28.60	$28.60
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00