Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $965.90 / $5,045.00 / $6,915.00	Facility		$965.90	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,195.63 / $3,859.05 / $8,545.91	Facility		$1,195.63	$3,859.05	$8,545.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,039.71 / $1,223.19 / $1,434.84	Facility		$1,039.71	$1,223.19	$1,434.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $636.90 / $810.60 / $1,740.66	Professional		$636.90	$810.60	$1,740.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00