Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,384.39 / $5,158.00 / $10,572.00	Facility		$1,384.39	$5,158.00	$10,572.00
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 $1,157.33 / $1,396.91 / $1,900.22	Facility		$1,157.33	$1,396.91	$1,900.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $755.12 / $5,845.00 / $10,047.00	Facility		$755.12	$5,845.00	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $75.01 / $75.01 / $75.01	Facility	AS	$75.01	$75.01	$75.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $729.48 / $1,042.80 / $1,789.25	Professional		$729.48	$1,042.80	$1,789.25
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $26.30 / $26.30 / $26.30	Professional	AS	$26.30	$26.30	$26.30
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,233.47 / $4,233.47 / $7,487.50	Facility		$4,233.47	$4,233.47	$7,487.50
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