Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,154.45 / $5,045.00 / $6,915.00	Facility		$1,154.45	$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 $1,796.28 / $2,113.28 / $2,465.69	Facility		$1,796.28	$2,113.28	$2,465.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,094.47 / $1,392.96 / $3,196.81	Professional		$1,094.47	$1,392.96	$3,196.81
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