Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $827.48 / $5,045.00 / $6,915.00	Facility		$827.48	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $996.37 / $2,722.51 / $5,292.58	Facility		$996.37	$2,722.51	$5,292.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,262.82 / $1,485.66 / $1,765.73	Facility		$1,262.82	$1,485.66	$1,765.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.76 / $997.51 / $1,204.14	Professional		$783.76	$997.51	$1,204.14
United Facility/Professional Facility Modifier Low / Median / High Price $772.00 / $2,360.00 / $4,066.00	Facility		$772.00	$2,360.00	$4,066.00