Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,946.78 / $5,045.00 / $6,915.00	Facility		$1,946.78	$5,045.00	$6,915.00
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 $3,021.27 / $3,554.45 / $4,168.53	Facility		$3,021.27	$3,554.45	$4,168.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,850.31 / $2,354.94 / $3,374.35	Professional		$1,850.31	$2,354.94	$3,374.35
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