Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,227.60 / $5,045.00 / $6,915.00	Facility		$1,227.60	$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 $1,911.29 / $2,248.58 / $2,624.88	Facility		$1,911.29	$2,248.58	$2,624.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,165.11 / $1,482.88 / $3,289.40	Professional		$1,165.11	$1,482.88	$3,289.40
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