Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,033.65 / $3,033.65 / $3,033.65	Facility		$3,033.65	$3,033.65	$3,033.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,924.00 / $3,033.65 / $3,033.65	Professional		$2,924.00	$3,033.65	$3,033.65
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.03 / $0.04	Facility		$0.02	$0.03	$0.04
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,436.66 / $3,045.83 / $3,289.49	Professional		$2,436.66	$3,045.83	$3,289.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $3,106.75 / $3,198.13 / $6,268.33	Facility		$3,106.75	$3,198.13	$6,268.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2,890.00 / $2,890.00 / $3,106.75	Professional		$2,890.00	$2,890.00	$3,106.75
United Facility/Professional Facility Modifier Low / Median / High Price $5,191.33 / $6,135.21 / $6,135.21	Facility		$5,191.33	$6,135.21	$6,135.21
United Facility/Professional Professional Modifier Low / Median / High Price $3,045.83 / $3,045.83 / $3,728.10	Professional		$3,045.83	$3,045.83	$3,728.10