Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,277.80 / $5,045.00 / $6,915.00	Facility		$1,277.80	$5,045.00	$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 $1,400.05 / $1,400.05 / $1,400.05	Facility		$1,400.05	$1,400.05	$1,400.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $942.32 / $1,370.64 / $2,123.48	Professional		$942.32	$1,370.64	$2,123.48
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $33.97 / $33.97 / $33.97	Professional	AS	$33.97	$33.97	$33.97
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