Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,186.68 / $4,829.00 / $6,915.00	Facility		$1,186.68	$4,829.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,155.80 / $3,116.30 / $6,315.83	Facility		$1,155.80	$3,116.30	$6,315.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,315.73 / $1,547.91 / $1,861.20	Facility		$1,315.73	$1,547.91	$1,861.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $826.14 / $1,051.46 / $2,357.42	Professional		$826.14	$1,051.46	$2,357.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $6,268.00 / $8,554.00	Facility		$1,800.00	$6,268.00	$8,554.00