Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,629.00 / $5,768.00 / $12,962.00	Facility		$1,629.00	$5,768.00	$12,962.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,282.27 / $5,625.04 / $14,509.03	Facility		$1,282.27	$5,625.04	$14,509.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,016.60 / $1,402.93 / $2,397.71	Facility		$1,016.60	$1,402.93	$2,397.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,104.88 / $6,367.52 / $10,047.00	Facility		$1,104.88	$6,367.52	$10,047.00
Cigna Facility/Professional Facility Modifier AS Low / Median / High Price $109.68 / $109.68 / $109.68	Facility	AS	$109.68	$109.68	$109.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,064.29 / $1,552.74 / $3,632.00	Professional		$1,064.29	$1,552.74	$3,632.00
Kaiser Permanente Facility/Professional Professional Modifier AS Low / Median / High Price $38.36 / $38.36 / $38.36	Professional	AS	$38.36	$38.36	$38.36
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $5,409.00 / $5,409.00 / $10,068.19	Facility		$5,409.00	$5,409.00	$10,068.19
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $9,172.00 / $16,000.00	Facility		$3,500.00	$9,172.00	$16,000.00