Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,062.52 / $5,045.00 / $6,915.00	Facility		$1,062.52	$5,045.00	$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 $1,655.09 / $1,947.17 / $2,277.75	Facility		$1,655.09	$1,947.17	$2,277.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,011.04 / $1,286.78 / $2,452.23	Professional		$1,011.04	$1,286.78	$2,452.23
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