Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,199.58 / $4,368.00 / $6,915.00	Facility		$1,199.58	$4,368.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $964.00 / $2,795.56 / $6,315.83	Facility		$964.00	$2,795.56	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,348.11 / $1,348.11 / $1,348.11	Facility		$1,348.11	$1,348.11	$1,348.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $905.20 / $1,316.66 / $2,039.85	Professional		$905.20	$1,316.66	$2,039.85
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $32.64 / $32.64 / $32.64	Professional	AS	$32.64	$32.64	$32.64
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