Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,093.99 / $5,063.00 / $6,915.00	Facility		$1,093.99	$5,063.00	$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 $1,688.06 / $1,985.96 / $2,326.83	Facility		$1,688.06	$1,985.96	$2,326.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,032.82 / $1,314.50 / $3,538.52	Professional		$1,032.82	$1,314.50	$3,538.52
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