Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,442.00 / $5,045.00 / $6,915.00	Facility		$1,442.00	$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 $2,231.57 / $2,625.38 / $3,076.59	Facility		$2,231.57	$2,625.38	$3,076.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,365.62 / $1,738.06 / $3,817.11	Professional		$1,365.62	$1,738.06	$3,817.11
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