Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.88 / $5,045.00 / $6,915.00	Facility		$1,793.88	$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 $2,776.26 / $3,266.19 / $3,833.43	Facility		$2,776.26	$3,266.19	$3,833.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,701.57 / $2,165.63 / $4,057.65	Professional		$1,701.57	$2,165.63	$4,057.65
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