Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,501.93 / $5,063.00 / $7,647.00	Facility		$1,501.93	$5,063.00	$7,647.00
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 $1,618.43 / $1,904.03 / $2,236.85	Facility		$1,618.43	$1,904.03	$2,236.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $992.88 / $1,263.67 / $2,797.79	Professional		$992.88	$1,263.67	$2,797.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00