Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,535.09 / $5,079.00 / $9,512.00	Facility		$1,535.09	$5,079.00	$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 $2,097.60 / $2,545.52 / $74,999.25	Facility		$2,097.60	$2,545.52	$74,999.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,329.28 / $1,933.50 / $9,816.40	Professional		$1,329.28	$1,933.50	$9,816.40
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