Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,564.14 / $5,045.00 / $6,915.00	Facility		$1,564.14	$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 $2,457.66 / $2,891.37 / $3,374.73	Facility		$2,457.66	$2,891.37	$3,374.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,497.97 / $1,906.51 / $3,519.36	Professional		$1,497.97	$1,906.51	$3,519.36
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