Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,458.00 / $6,291.00 / $11,536.00	Facility		$1,458.00	$6,291.00	$11,536.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,082.02 / $3,851.84 / $13,523.26	Facility		$1,082.02	$3,851.84	$13,523.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,141.85 / $1,378.29 / $1,874.88	Facility		$1,141.85	$1,378.29	$1,874.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $745.09 / $5,845.00 / $10,047.00	Facility		$745.09	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $719.75 / $1,035.52 / $1,960.38	Professional		$719.75	$1,035.52	$1,960.38
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.47 / $4,233.47 / $5,587.50	Facility		$4,233.47	$4,233.47	$5,587.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,689.00 / $14,120.00	Facility		$1,519.00	$6,689.00	$14,120.00