Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.15 / $5,063.00 / $6,915.00	Facility		$763.15	$5,063.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,135.89 / $2,987.00 / $6,315.83	Facility		$1,135.89	$2,987.00	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $800.69 / $941.97 / $1,108.28	Facility		$800.69	$941.97	$1,108.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $491.93 / $626.09 / $1,358.06	Professional		$491.93	$626.09	$1,358.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00