Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,410.16 / $5,367.00 / $9,488.00	Facility		$1,410.16	$5,367.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,139.00 / $8,094.63	Facility		$1,380.70	$4,139.00	$8,094.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,090.52 / $2,537.33 / $74,999.25	Facility		$2,090.52	$2,537.33	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,325.02 / $1,927.30 / $9,770.37	Professional		$1,325.02	$1,927.30	$9,770.37
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $84.93 / $84.93 / $84.93	Professional	80	$84.93	$84.93	$84.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,931.00 / $7,345.00 / $11,889.00	Facility		$1,931.00	$7,345.00	$11,889.00