Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,797.00 / $5,045.00 / $6,915.00	Facility		$1,797.00	$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 $2,085.48 / $2,453.52 / $2,861.21	Facility		$2,085.48	$2,453.52	$2,861.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,270.03 / $1,616.40 / $4,025.53	Professional		$1,270.03	$1,616.40	$4,025.53
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