Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,129.33 / $4,592.00 / $6,915.00	Facility		$1,129.33	$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 $1,756.56 / $2,066.55 / $2,422.17	Facility		$1,756.56	$2,066.55	$2,422.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,075.15 / $1,368.37 / $2,830.48	Professional		$1,075.15	$1,368.37	$2,830.48
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