Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,578.46 / $5,063.00 / $7,421.00	Facility		$1,578.46	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,298.47 / $4,701.47 / $16,388.24	Facility		$1,298.47	$4,701.47	$16,388.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,700.04 / $2,000.04 / $2,336.92	Facility		$1,700.04	$2,000.04	$2,336.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,037.31 / $1,320.21 / $2,472.73	Professional		$1,037.31	$1,320.21	$2,472.73
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