Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,813.53 / $5,045.00 / $6,915.00	Facility		$1,813.53	$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 $2,853.59 / $3,357.17 / $3,935.61	Facility		$2,853.59	$3,357.17	$3,935.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,746.92 / $2,223.35 / $3,623.04	Professional		$1,746.92	$2,223.35	$3,623.04
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