Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,614.94 / $5,045.00 / $6,915.00	Facility		$1,614.94	$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 $2,515.10 / $2,958.95 / $3,453.29	Facility		$2,515.10	$2,958.95	$3,453.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,532.84 / $1,950.89 / $3,796.98	Professional		$1,532.84	$1,950.89	$3,796.98
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