Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,921.58 / $5,730.00 / $10,572.00	Facility		$1,921.58	$5,730.00	$10,572.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,185.65 / $3,851.84 / $13,523.26	Facility		$1,185.65	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $709.37 / $983.38 / $1,680.68	Facility		$709.37	$983.38	$1,680.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $772.62 / $5,845.00 / $10,047.00	Facility		$772.62	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $76.76 / $76.76 / $76.76	Facility	AS	$76.76	$76.76	$76.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $746.01 / $1,085.09 / $2,620.00	Professional		$746.01	$1,085.09	$2,620.00
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $53.80 / $53.80 / $53.80	Professional	80	$53.80	$53.80	$53.80
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.90 / $26.90 / $26.90	Professional	AS	$26.90	$26.90	$26.90
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $7,376.00 / $7,376.00 / $11,417.31	Facility		$7,376.00	$7,376.00	$11,417.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,998.00 / $10,496.00 / $18,613.00	Facility		$1,998.00	$10,496.00	$18,613.00