Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,250.80 / $5,595.00 / $9,023.00	Facility		$1,250.80	$5,595.00	$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 $1,509.47 / $1,775.85 / $2,084.64	Facility		$1,509.47	$1,775.85	$2,084.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $925.32 / $1,177.68 / $2,102.46	Professional		$925.32	$1,177.68	$2,102.46
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