Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $838.00 / $4,592.00 / $6,915.00	Facility		$838.00	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.33 / $3,143.25 / $6,097.45	Facility		$1,082.33	$3,143.25	$6,097.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $714.96 / $841.14 / $992.67	Facility		$714.96	$841.14	$992.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.63 / $482.16 / $676.96	Professional		$440.63	$482.16	$676.96
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