Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,202.00 / $3,391.00 / $6,915.00	Facility		$1,202.00	$3,391.00	$6,915.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,206.01 / $3,514.57 / $6,339.18	Facility		$1,206.01	$3,514.57	$6,339.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,071.30 / $1,454.67 / $1,610.53	Facility		$1,071.30	$1,454.67	$1,610.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,375.00 / $2,310.87	Professional		$1,250.00	$1,375.00	$2,310.87
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $3,629.00 / $10,000.00	Facility		$607.00	$3,629.00	$10,000.00