Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,260.16 / $5,506.00 / $12,228.00	Facility		$1,260.16	$5,506.00	$12,228.00
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 $721.81 / $998.57 / $1,706.64	Facility		$721.81	$998.57	$1,706.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $784.14 / $5,845.00 / $10,047.00	Facility		$784.14	$5,845.00	$10,047.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $757.54 / $1,104.85 / $1,847.94	Professional		$757.54	$1,104.85	$1,847.94
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $2,048.52 / $2,048.52 / $2,048.52	Professional	22	$2,048.52	$2,048.52	$2,048.52
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $4,800.00 / $4,800.00 / $11,237.18	Facility		$4,800.00	$4,800.00	$11,237.18
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