Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,271.65 / $5,045.00 / $6,915.00	Facility		$1,271.65	$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 $1,930.07 / $2,270.67 / $2,644.52	Facility		$1,930.07	$2,270.67	$2,644.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,173.83 / $1,493.97 / $5,149.27	Professional		$1,173.83	$1,493.97	$5,149.27
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