Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,245.00 / $1,245.00 / $1,245.00	Facility		$1,245.00	$1,245.00	$1,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,245.00 / $1,369.50	Professional		$1,200.00	$1,245.00	$1,369.50
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $988.52 / $1,000.00	Professional		$950.00	$988.52	$1,000.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,312.50 / $1,312.50	Facility		$1,275.00	$1,312.50	$1,312.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Facility		$1,275.00	$1,275.00	$1,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $1,275.00	Professional		$1,275.00	$1,275.00	$1,275.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,275.00 / $1,275.00 / $2,374.00	Professional		$1,275.00	$1,275.00	$2,374.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $239.19	Professional		$192.97	$192.97	$239.19
United Facility/Professional Professional Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,622.40	Professional		$1,250.00	$1,250.00	$1,622.40