Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,292.50 / $5,063.00 / $10,000.00	Facility		$1,292.50	$5,063.00	$10,000.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,226.13 / $6,478.48 / $14,509.03	Facility		$2,226.13	$6,478.48	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $957.15 / $1,322.23 / $2,259.80	Facility		$957.15	$1,322.23	$2,259.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,039.11 / $5,845.00 / $10,047.00	Facility		$1,039.11	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $103.31 / $103.31 / $103.31	Facility	AS	$103.31	$103.31	$103.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,003.07 / $1,459.01 / $5,136.26	Professional		$1,003.07	$1,459.01	$5,136.26
Kaiser Permanente Facility/Professional Professional Modifier 80 Low / Median / High Price $72.33 / $72.33 / $72.33	Professional	80	$72.33	$72.33	$72.33
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $36.17 / $36.17 / $36.17	Professional	AS	$36.17	$36.17	$36.17
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $6,048.28 / $6,048.28 / $6,501.00	Facility		$6,048.28	$6,048.28	$6,501.00
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