Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,568.27 / $5,045.00 / $6,915.00	Facility		$1,568.27	$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 $2,430.81 / $2,859.78 / $3,338.55	Facility		$2,430.81	$2,859.78	$3,338.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,481.90 / $1,886.05 / $3,657.02	Professional		$1,481.90	$1,886.05	$3,657.02
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