Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,571.75 / $6,014.00 / $9,008.00	Facility		$1,571.75	$6,014.00	$9,008.00
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 $1,756.80 / $2,066.82 / $2,433.80	Facility		$1,756.80	$2,066.82	$2,433.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,080.30 / $1,374.93 / $3,045.88	Professional		$1,080.30	$1,374.93	$3,045.88
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