Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $549.54 / $549.54	Professional		$549.54	$549.54	$549.54
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Professional		$4,570.88	$4,570.88	$4,570.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $630.96 / $1,071.52	Professional		$100.00	$630.96	$1,071.52
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $4,786.30	Facility		$4,786.30	$4,786.30	$4,786.30
United Facility/Professional Professional Modifier Low / Median / High Price $4,786.30 / $4,786.30 / $5,011.87	Professional		$4,786.30	$4,786.30	$5,011.87