Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,344.60 / $1,344.60 / $1,344.60	Facility		$1,344.60	$1,344.60	$1,344.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,296.00 / $1,344.60 / $1,377.00	Professional		$1,296.00	$1,344.60	$1,377.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $950.00 / $1,059.69 / $1,064.95	Professional		$950.00	$1,059.69	$1,064.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,417.50 / $1,417.50	Facility		$1,377.00	$1,417.50	$1,417.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Facility		$1,377.00	$1,377.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,377.00 / $1,377.00 / $1,377.00	Professional		$1,377.00	$1,377.00	$1,377.00
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 $1,350.00 / $1,350.00 / $1,796.99	Professional		$1,350.00	$1,350.00	$1,796.99