Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,379.39 / $5,045.00 / $6,915.00	Facility		$1,379.39	$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 $2,135.21 / $2,512.01 / $2,931.00	Facility		$2,135.21	$2,512.01	$2,931.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,301.00 / $1,655.82 / $3,883.68	Professional		$1,301.00	$1,655.82	$3,883.68
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