Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $1,557.09	Facility		$1,557.09	$1,557.09	$1,557.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,557.09 / $1,557.09 / $3,044.76	Professional		$1,557.09	$1,557.09	$3,044.76
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $3,400.00 / $3,400.00	Professional		$2,890.00	$3,400.00	$3,400.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $688.50 / $688.50 / $6,885.00	Facility		$688.50	$688.50	$6,885.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37,896.00 / $37,896.00 / $37,896.00	Professional		$37,896.00	$37,896.00	$37,896.00