Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,925.00 / $5,809.00 / $12,962.00	Facility		$1,925.00	$5,809.00	$12,962.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,538.97 / $14,509.03	Facility		$1,282.27	$5,538.97	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,844.93 / $2,218.55 / $3,017.87	Facility		$1,844.93	$2,218.55	$3,017.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.44 / $5,845.00 / $10,047.00	Facility		$1,200.44	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,158.54 / $1,685.15 / $3,679.08	Professional		$1,158.54	$1,685.15	$3,679.08
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,334.00 / $4,334.00 / $7,728.74	Facility		$4,334.00	$4,334.00	$7,728.74
United Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $10,955.00 / $18,613.00	Facility		$2,725.00	$10,955.00	$18,613.00