Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,356.70 / $5,809.00 / $12,228.00	Facility		$1,356.70	$5,809.00	$12,228.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,763.81 / $13,523.26	Facility		$1,082.02	$3,763.81	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $946.14 / $1,145.58 / $1,558.34	Facility		$946.14	$1,145.58	$1,558.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $619.72 / $5,845.00 / $10,047.00	Facility		$619.72	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $61.52 / $61.52 / $61.52	Facility	AS	$61.52	$61.52	$61.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $598.24 / $892.51 / $1,620.92	Professional		$598.24	$892.51	$1,620.92
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $43.14 / $43.14 / $43.14	Professional	80	$43.14	$43.14	$43.14
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $21.57 / $21.57 / $21.57	Professional	AS	$21.57	$21.57	$21.57
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.47 / $4,233.47 / $4,600.00	Facility		$4,233.47	$4,233.47	$4,600.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $7,000.00 / $14,120.00	Facility		$1,519.00	$7,000.00	$14,120.00