Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,510.72 / $5,063.00 / $9,512.00	Facility		$1,510.72	$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 $2,082.81 / $2,531.54 / $74,999.25	Facility		$2,082.81	$2,531.54	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,321.99 / $1,922.90 / $9,762.31	Professional		$1,321.99	$1,922.90	$9,762.31
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $84.74 / $84.74 / $84.74	Professional	80	$84.74	$84.74	$84.74
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