Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,484.14 / $5,045.00 / $6,915.00	Facility		$1,484.14	$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 $2,310.14 / $2,717.81 / $3,171.36	Facility		$2,310.14	$2,717.81	$3,171.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,407.69 / $1,791.61 / $4,171.67	Professional		$1,407.69	$1,791.61	$4,171.67
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