Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,231.02 / $4,592.00 / $6,915.00	Facility		$1,231.02	$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 $1,906.58 / $2,243.03 / $2,619.53	Facility		$1,906.58	$2,243.03	$2,619.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,162.74 / $1,479.86 / $2,813.41	Professional		$1,162.74	$1,479.86	$2,813.41
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