Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,381.59 / $5,045.00 / $6,915.00	Facility		$1,381.59	$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 $2,161.07 / $2,542.42 / $2,968.80	Facility		$2,161.07	$2,542.42	$2,968.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,317.78 / $1,677.17 / $3,276.65	Professional		$1,317.78	$1,677.17	$3,276.65
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