Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,736.65 / $5,045.00 / $6,915.00	Facility		$1,736.65	$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 $2,680.55 / $3,153.59 / $3,678.96	Facility		$2,680.55	$3,153.59	$3,678.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,633.01 / $2,078.37 / $5,083.16	Professional		$1,633.01	$2,078.37	$5,083.16
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