Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,312.15 / $5,045.00 / $6,915.00	Facility		$1,312.15	$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 $2,049.08 / $2,410.67 / $2,815.59	Facility		$2,049.08	$2,410.67	$2,815.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,249.78 / $1,590.62 / $3,497.45	Professional		$1,249.78	$1,590.62	$3,497.45
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