Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,080.38 / $4,592.00 / $7,421.00	Facility		$1,080.38	$4,592.00	$7,421.00
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 $1,260.44 / $1,260.44 / $1,260.44	Facility		$1,260.44	$1,260.44	$1,260.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $788.22 / $1,162.95 / $1,776.22	Professional		$788.22	$1,162.95	$1,776.22
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $28.42 / $28.42 / $28.42	Professional	AS	$28.42	$28.42	$28.42
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