Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,874.13 / $5,045.00 / $6,915.00	Facility		$1,874.13	$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 $2,914.53 / $3,428.87 / $3,998.84	Facility		$2,914.53	$3,428.87	$3,998.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,774.99 / $2,259.08 / $4,579.43	Professional		$1,774.99	$2,259.08	$4,579.43
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