Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,788.83 / $5,063.00 / $7,421.00	Facility		$1,788.83	$5,063.00	$7,421.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.62 / $5,304.99 / $10,832.53	Facility		$1,860.62	$5,304.99	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,887.50 / $2,220.59 / $2,598.21	Facility		$1,887.50	$2,220.59	$2,598.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,153.28 / $1,467.82 / $9,748.00	Professional		$1,153.28	$1,467.82	$9,748.00
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