Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $356.22 / $3,391.00 / $6,915.00	Facility		$356.22	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,875.00 / $7,875.00 / $7,875.00	Facility		$7,875.00	$7,875.00	$7,875.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.46 / $295.48 / $328.88	Facility		$217.46	$295.48	$328.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.46 / $282.70 / $486.77	Professional		$217.46	$282.70	$486.77
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $15.14 / $15.14 / $15.14	Professional	80	$15.14	$15.14	$15.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $7.57 / $7.57 / $7.57	Professional	AS	$7.57	$7.57	$7.57
United Facility/Professional Facility Modifier Low / Median / High Price $212.00 / $1,550.00 / $2,665.00	Facility		$212.00	$1,550.00	$2,665.00