Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,281.84 / $5,063.00 / $9,512.00	Facility		$1,281.84	$5,063.00	$9,512.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.70 / $4,139.00 / $8,094.63	Facility		$1,380.70	$4,139.00	$8,094.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,895.78 / $2,308.37 / $74,999.25	Facility		$1,895.78	$2,308.37	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,205.45 / $1,753.38 / $8,881.40	Professional		$1,205.45	$1,753.38	$8,881.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $7,299.00 / $11,889.00	Facility		$1,250.00	$7,299.00	$11,889.00