Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,572.03 / $5,045.00 / $9,488.00	Facility		$1,572.03	$5,045.00	$9,488.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,538.99 / $5,012.33 / $10,649.67	Facility		$1,538.99	$5,012.33	$10,649.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,423.10 / $2,850.71 / $3,358.40	Facility		$2,423.10	$2,850.71	$3,358.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,490.71 / $1,897.27 / $4,234.34	Professional		$1,490.71	$1,897.27	$4,234.34
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