Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,541.20 / $5,045.00 / $6,915.00	Facility		$1,541.20	$5,045.00	$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 $2,418.09 / $2,844.81 / $3,324.32	Facility		$2,418.09	$2,844.81	$3,324.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,475.58 / $1,878.02 / $3,368.70	Professional		$1,475.58	$1,878.02	$3,368.70
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