Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,576.59 / $5,045.00 / $6,915.00	Facility		$2,576.59	$5,045.00	$6,915.00
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 $3,502.26 / $3,502.26 / $3,502.26	Facility		$3,502.26	$3,502.26	$3,502.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,620.38 / $3,249.10 / $4,978.72	Professional		$2,620.38	$3,249.10	$4,978.72
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