Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,265.80 / $5,045.00 / $6,915.00	Facility		$1,265.80	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,933.97 / $2,275.25 / $2,662.83	Facility		$1,933.97	$2,275.25	$2,662.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,181.96 / $1,504.31 / $3,768.06	Professional		$1,181.96	$1,504.31	$3,768.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,036.00 / $3,629.00 / $10,000.00	Facility		$1,036.00	$3,629.00	$10,000.00