Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,590.54	Facility		$1,590.54	$1,590.54	$1,590.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,670.07	Professional		$1,590.54	$1,590.54	$1,670.07
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $1,622.35	Professional		$1,590.54	$1,590.54	$1,622.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $3,117.46	Facility		$1,590.54	$1,590.54	$3,117.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,500.51 / $1,500.51 / $1,590.54	Facility		$1,500.51	$1,500.51	$1,590.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,025.69	Professional		$1,590.54	$1,590.54	$2,025.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $306.00 / $2,550.00 / $2,550.00	Professional		$306.00	$2,550.00	$2,550.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $2,942.50	Professional		$192.97	$239.19	$2,942.50
United Facility/Professional Professional Modifier Low / Median / High Price $1,590.54 / $1,590.54 / $2,580.05	Professional		$1,590.54	$1,590.54	$2,580.05