Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.26 / $6,726.00 / $10,374.00	Facility		$415.26	$6,726.00	$10,374.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.33 / $3,143.25 / $6,147.04	Facility		$1,082.33	$3,143.25	$6,147.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $226.17 / $266.08 / $308.67	Facility		$226.17	$266.08	$308.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $137.01 / $174.37 / $1,528.17	Professional		$137.01	$174.37	$1,528.17
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