Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Facility		$153.00	$153.00	$153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.00 / $153.00 / $153.00	Professional		$153.00	$153.00	$153.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,062.00 / $1,479.00 / $3,598.00	Facility		$1,062.00	$1,479.00	$3,598.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $17,100.00 / $17,100.00 / $19,000.00	Professional		$17,100.00	$17,100.00	$19,000.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $440.00 / $440.00 / $687.00	Professional		$440.00	$440.00	$687.00
United Facility/Professional Professional Modifier Low / Median / High Price $92.14 / $92.14 / $92.14	Professional		$92.14	$92.14	$92.14