Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,559.21 / $5,045.00 / $6,915.00	Facility		$1,559.21	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,429.69 / $2,858.46 / $3,339.68	Facility		$2,429.69	$2,858.46	$3,339.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,482.39 / $1,886.68 / $2,965.57	Professional		$1,482.39	$1,886.68	$2,965.57
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