Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,633.47 / $5,664.00 / $9,023.00	Facility		$1,633.47	$5,664.00	$9,023.00
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 $1,779.11 / $2,093.07 / $2,451.65	Facility		$1,779.11	$2,093.07	$2,451.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,088.23 / $1,385.02 / $3,104.42	Professional		$1,088.23	$1,385.02	$3,104.42
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