Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,640.93	Facility		$1,640.93	$1,640.93	$1,640.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,722.98	Professional		$1,640.93	$1,640.93	$1,722.98
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $1,673.74	Professional		$1,640.93	$1,640.93	$1,673.74
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $3,216.22	Facility		$1,640.93	$1,640.93	$3,216.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,548.05 / $1,548.05 / $1,640.93	Facility		$1,548.05	$1,548.05	$1,640.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,089.86	Professional		$1,640.93	$1,640.93	$2,089.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,326.00 / $1,326.00 / $2,426.00	Professional		$1,326.00	$1,326.00	$2,426.00
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $239.19 / $3,035.72	Professional		$192.97	$239.19	$3,035.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.93 / $1,640.93 / $2,057.73	Professional		$1,640.93	$1,640.93	$2,057.73