Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $840.00 / $2,800.00 / $6,915.00	Facility		$840.00	$2,800.00	$6,915.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $2,585.00 / $3,258.00 / $7,068.00	Facility	50	$2,585.00	$3,258.00	$7,068.00
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,226.00 / $4,845.66 / $10,832.53	Facility		$1,226.00	$4,845.66	$10,832.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $704.84 / $771.87 / $1,185.38	Facility		$704.84	$771.87	$1,185.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,064.29 / $6,918.00 / $9,852.00	Facility		$3,064.29	$6,918.00	$9,852.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $369.23 / $480.00 / $1,337.70	Professional		$369.23	$480.00	$1,337.70
Kaiser Permanente Facility/Professional Professional Modifier 22 Low / Median / High Price $884.74 / $884.74 / $884.74	Professional	22	$884.74	$884.74	$884.74
Oscar Health Facility/Professional Facility Modifier Low / Median / High Price $10,470.37 / $10,470.37 / $14,725.00	Facility		$10,470.37	$10,470.37	$14,725.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,519.00 / $6,351.00 / $8,836.00	Facility		$1,519.00	$6,351.00	$8,836.00