Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,774.77	Facility		$1,494.41	$1,494.41	$1,774.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,643.85	Professional		$1,494.41	$1,494.41	$1,643.85
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,524.29	Professional		$1,494.41	$1,494.41	$1,524.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,929.04	Facility		$1,494.41	$1,494.41	$2,929.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,409.82 / $1,409.82 / $1,494.41	Facility		$1,409.82	$1,409.82	$1,494.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $1,903.26	Professional		$1,494.41	$1,494.41	$1,903.26
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,600.60 / $1,600.61 / $3,110.00	Professional		$1,600.60	$1,600.61	$3,110.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $1,584.07 / $1,584.07 / $2,391.06	Professional		$1,584.07	$1,584.07	$2,391.06
United Facility/Professional Professional Modifier Low / Median / High Price $1,494.41 / $1,494.41 / $2,602.38	Professional		$1,494.41	$1,494.41	$2,602.38