Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.73 / $4,592.00 / $6,915.00	Facility		$17.73	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $15.48 / $21.21 / $23.34	Facility		$15.48	$21.21	$23.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.57 / $21.67 / $113.00	Professional		$18.57	$21.67	$113.00
United Facility/Professional Facility Modifier Low / Median / High Price $353.00 / $1,580.00 / $2,665.00	Facility		$353.00	$1,580.00	$2,665.00