Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,791.00 / $6,915.00 / $10,417.00	Facility		$1,791.00	$6,915.00	$10,417.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,023.79 / $7,475.93 / $17,285.06	Facility		$2,023.79	$7,475.93	$17,285.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,025.21 / $2,382.60 / $2,783.28	Facility		$2,025.21	$2,382.60	$2,783.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,235.43 / $1,572.37 / $8,701.00	Professional		$1,235.43	$1,572.37	$8,701.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,587.00 / $8,133.00	Facility		$1,269.00	$3,587.00	$8,133.00