Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $962.98 / $5,045.00 / $6,915.00	Facility		$962.98	$5,045.00	$6,915.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $916.83 / $1,119.83 / $1,968.94	Professional		$916.83	$1,119.83	$1,968.94
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,431.64 / $10,456.09	Facility		$1,298.47	$4,431.64	$10,456.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $930.56 / $1,306.51 / $2,545.71	Professional		$930.56	$1,306.51	$2,545.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,766.45 / $1,932.36 / $2,967.56	Facility		$1,766.45	$1,932.36	$2,967.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.35 / $1,202.96 / $2,432.78	Professional		$925.35	$1,202.96	$2,432.78
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $984.37 / $1,407.42 / $2,473.37	Professional		$984.37	$1,407.42	$2,473.37