Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,115.76 / $5,045.00 / $6,915.00	Facility		$1,115.76	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,386.48 / $1,631.16 / $1,925.72	Facility		$1,386.48	$1,631.16	$1,925.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $854.78 / $1,087.90 / $2,281.21	Professional		$854.78	$1,087.90	$2,281.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $8,836.00	Facility		$1,519.00	$6,689.00	$8,836.00