Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,386.06 / $5,045.00 / $6,915.00	Facility		$1,386.06	$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 $2,140.02 / $2,517.67 / $2,938.68	Facility		$2,140.02	$2,517.67	$2,938.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,304.41 / $1,660.16 / $3,883.68	Professional		$1,304.41	$1,660.16	$3,883.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.00 / $3,372.00 / $8,133.00	Facility		$1,269.00	$3,372.00	$8,133.00