Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,208.69 / $5,045.00 / $6,915.00	Facility		$1,208.69	$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 $1,868.36 / $2,198.07 / $2,567.21	Facility		$1,868.36	$2,198.07	$2,567.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,139.52 / $1,450.30 / $3,378.24	Professional		$1,139.52	$1,450.30	$3,378.24
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