Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,215.50 / $4,733.00 / $6,915.00	Facility		$1,215.50	$4,733.00	$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 $1,886.06 / $2,218.88 / $2,595.65	Facility		$1,886.06	$2,218.88	$2,595.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,152.14 / $1,466.36 / $2,724.59	Professional		$1,152.14	$1,466.36	$2,724.59
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