Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,896.83 / $5,063.00 / $6,915.00	Facility		$2,896.83	$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 $4,537.22 / $5,337.90 / $6,218.96	Facility		$4,537.22	$5,337.90	$6,218.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,760.45 / $3,513.30 / $5,685.57	Professional		$2,760.45	$3,513.30	$5,685.57
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