Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,146.70 / $4,592.00 / $6,915.00	Facility		$1,146.70	$4,592.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,781.37 / $2,095.73 / $2,448.36	Facility		$1,781.37	$2,095.73	$2,448.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,086.77 / $1,383.16 / $1,725.66	Professional		$1,086.77	$1,383.16	$1,725.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00