Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,145.13 / $5,045.00 / $6,915.00	Facility		$1,145.13	$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 $1,784.91 / $2,099.90 / $2,455.32	Facility		$1,784.91	$2,099.90	$2,455.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,089.85 / $1,387.09 / $3,640.88	Professional		$1,089.85	$1,387.09	$3,640.88
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