Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,374.22 / $5,045.00 / $6,915.00	Facility		$1,374.22	$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 $2,130.81 / $2,506.83 / $2,930.91	Facility		$2,130.81	$2,506.83	$2,930.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,300.96 / $1,655.77 / $3,272.88	Professional		$1,300.96	$1,655.77	$3,272.88
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