Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.49 / $5,045.00 / $6,915.00	Facility		$673.49	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,037.60 / $1,220.72 / $1,431.65	Facility		$1,037.60	$1,220.72	$1,431.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $635.48 / $808.79 / $2,299.16	Professional		$635.48	$808.79	$2,299.16
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