Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,592.00 / $5,595.00 / $9,246.24	Facility		$4,592.00	$5,595.00	$9,246.24
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,400.00 / $5,240.70 / $19,879.08	Facility		$1,400.00	$5,240.70	$19,879.08
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7,242.40 / $7,242.40 / $7,242.40	Facility		$7,242.40	$7,242.40	$7,242.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $5,348.84 / $6,953.49 / $10,802.74	Professional		$5,348.84	$6,953.49	$10,802.74
United Facility/Professional Facility Modifier Low / Median / High Price $400.00 / $2,969.00 / $9,079.00	Facility		$400.00	$2,969.00	$9,079.00