Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $933.25 / $4,353.00 / $7,827.75	Facility		$933.25	$4,353.00	$7,827.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,402.00 / $5,435.54 / $12,227.65	Facility		$1,402.00	$5,435.54	$12,227.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $779.53 / $1,052.54 / $1,740.20	Facility		$779.53	$1,052.54	$1,740.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $847.76 / $847.76 / $6,333.36	Facility		$847.76	$847.76	$6,333.36
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $84.37 / $84.37 / $84.37	Facility	AS	$84.37	$84.37	$84.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $818.77 / $1,172.03 / $1,845.10	Professional		$818.77	$1,172.03	$1,845.10
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,214.12 / $2,214.12 / $2,214.12	Professional	22	$2,214.12	$2,214.12	$2,214.12
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $59.04 / $59.04 / $59.04	Professional	80	$59.04	$59.04	$59.04
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $29.52 / $29.52 / $29.52	Professional	AS	$29.52	$29.52	$29.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,501.00 / $6,501.00 / $11,284.11	Facility		$6,501.00	$6,501.00	$11,284.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,738.00 / $7,794.00 / $14,048.00	Facility		$1,738.00	$7,794.00	$14,048.00