Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $768.30 / $2,784.38 / $4,037.22	Facility		$768.30	$2,784.38	$4,037.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,085.82 / $2,784.38 / $2,923.60	Professional		$2,085.82	$2,784.38	$2,923.60
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $2,840.06	Professional		$2,784.38	$2,784.38	$2,840.06
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $5,457.38	Facility		$2,784.38	$2,784.38	$5,457.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,626.77 / $2,626.77 / $2,784.38	Facility		$2,626.77	$2,626.77	$2,784.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $3,546.14	Professional		$2,784.38	$2,784.38	$3,546.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $93.93 / $93.93 / $421.00	Professional		$93.93	$93.93	$421.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $5,151.10	Professional		$192.97	$239.19	$5,151.10
United Facility/Professional Facility Modifier Low / Median / High Price $180.67 / $180.67 / $180.67	Facility		$180.67	$180.67	$180.67
United Facility/Professional Professional Modifier Low / Median / High Price $2,784.38 / $2,784.38 / $4,200.00	Professional		$2,784.38	$2,784.38	$4,200.00