Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.59 / $5,045.00 / $6,915.00	Facility		$1,484.59	$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 $2,301.83 / $2,708.04 / $3,163.73	Facility		$2,301.83	$2,708.04	$3,163.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,404.30 / $1,787.30 / $3,257.42	Professional		$1,404.30	$1,787.30	$3,257.42
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