Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,033.59 / $5,045.00 / $6,915.00	Facility		$1,033.59	$5,045.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,406.20 / $4,415.29 / $8,702.00	Facility		$1,406.20	$4,415.29	$8,702.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,609.22 / $1,893.20 / $2,213.67	Facility		$1,609.22	$1,893.20	$2,213.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $982.60 / $1,250.58 / $3,456.86	Professional		$982.60	$1,250.58	$3,456.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $9,193.00 / $18,613.00	Facility		$1,998.00	$9,193.00	$18,613.00