Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,269.33 / $5,045.00 / $6,915.00	Facility		$1,269.33	$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 $1,957.67 / $2,303.13 / $2,699.00	Facility		$1,957.67	$2,303.13	$2,699.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,198.02 / $1,524.75 / $3,825.32	Professional		$1,198.02	$1,524.75	$3,825.32
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