Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $462.39 / $5,045.00 / $6,915.00	Facility		$462.39	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,105.48 / $13,137.87	Facility		$2,226.13	$6,105.48	$13,137.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $397.75 / $545.08 / $600.91	Facility		$397.75	$545.08	$600.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $477.30 / $556.85 / $1,020.47	Professional		$477.30	$556.85	$1,020.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00