Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $5,370.32 / $10,715.19	Facility		$3,162.28	$5,370.32	$10,715.19
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $15,848.93 / $25,703.96 / $56,234.13	Facility		$15,848.93	$25,703.96	$56,234.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $4,168.69 / $15,135.61 / $15,135.61	Professional		$4,168.69	$15,135.61	$15,135.61
United Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $6,760.83 / $12,882.50	Facility		$2,630.27	$6,760.83	$12,882.50