Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,511.89 / $3,548.13	Facility		$1,348.96	$2,511.89	$3,548.13
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $3,311.31 / $6,025.60	Facility		$1,230.27	$3,311.31	$6,025.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $3,311.31 / $4,786.30	Facility		$2,951.21	$3,311.31	$4,786.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,238.72 / $2,511.89 / $3,630.78	Professional		$2,238.72	$2,511.89	$3,630.78
United Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,311.31 / $10,000.00	Facility		$575.44	$3,311.31	$10,000.00